日间病房经皮冠状动脉介入治疗可行性及安全性评估

Evaluation of the feasibility and safety of day ward for percutaneous coronary intervention

目的评估日间病房经皮冠状动脉介入治疗(PCI)的可行性及安全性。方法回顾性分析自2021年3月至2022年2月于北部战区总医院心血管内科经日间病房入院并行PCI的145例患者(日间病房组)的临床资料;同时,以1∶3的比例匹配常规住院的435例PCI患者(常规住院组)。以PCI后12个月内的缺血事件为研究的主要终点,出院后12个月内的全因死亡为次要终点。比较两组患者的基线资料、冠状动脉病变特点、介入手术情况、住院天数及不良事件发生率,采用Kaplan-Meier法分析终点事件的发生与时间的关系。结果两组患者基线资料、桡动脉入路比例、靶血管位置比例、支架个数、支架总长度、不良事件发生率比较,差异均无统计学意义(P>0.05)。日间病房组住院天数少于常规住院组,差异有统计学意义(P<0.05)。在出院12个月内,两组患者缺血事件和全因死亡发生率比较,差异无统计学意义(P>0.05)。结论经术前充分评估后,日间病房患者行PCI的可行性及安全性均良好。

Objective To evaluate the feasibility and safety of percutaneous coronary intervention(PCI)in day ward.Methods From March 2021 to February 2022,the clinical data of 145 patients(day ward group)admitted to the day ward of General Hospital of Northern Theater Command with PCI were retrospectively analyzed.At the same time,435 PCI patients(routine hospitalization group)were matched with a ratio of 1∶3.Ischemic events within 12 months after PCI were the primary endpoint,and all-cause death within 12 months after discharge was the secondary endpoint.Baseline data,characteristics of coronary artery disease,interventional surgery,length of stay and incidence of adverse events were compared between the two groups.Kaplan-Meier method was used to analyze the relationship between occurrence of endpoint events and time.Results There were no significant differences in baseline data,proportion of radial artery approach,proportion of target vessel location,number of stents,total length of stents,and incidence of adverse events between two groups(P>0.05).The number of days of hospitalization in day ward group was less than that in routine hospitalization group,and the difference was statistically significant(P<0.05).Within 12 months after discharge,there was no significant difference in the incidence of ischemic events and all-cause death between two groups(P>0.05).Conclusion After preoperative evaluation,the feasibility and safety of PCI in day ward patients are good.