在非老年人中进行全关节整形术 - - 一项全国性在患者内对外科手术后并发症的样本研究
Nikit Venishetty1, Michel Toutoungy1, Jack Beale2
1Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center, El Paso, TX, USA.
Geriatric orthopaedic surgery & rehabilitation
|May 30, 2023
概括
接受全关节整形术 (THA) 的老年人面临更高的并发症风险和成本. 这项研究强调了接受THA.的非老年人增加的死亡率,医疗问题和更长的住院时间.
科学领域:
- 整形外科 整形外科 整形外科
- 老年医学 老年医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 非老年人代表着日益增长的人口,关节炎的发病率越来越高.
- 整体关节整形术 (THA) 是一种常见的治疗方法,但对非老年人结局的数据有限.
- 了解这个年龄段的术后并发症对于有效的护理至关重要.
研究的目的:
- 分析经手术后的并发症,停留时间 (LOS) 和治疗费用 (COC) 对于接受THA的非老年患者.
- 为了比较接受THA的非老年人和年轻患者之间的结果.
- 为了提供数据,在老年骨科手术的知情决策.
主要方法:
- 对2016-2019年全国住院患者样本 (NIS) 数据库的回顾性分析.
- 包括309,100名THA患者,其中1864人被确定为非老年人.
- 在非老年人群和非老年人群之间的并发症率,LOS和COC的比较.
主要成果:
- 与对照人群 (平均年龄90岁) 相比,非老年人群 (平均年龄90岁) 的死亡率,心肌梗塞,急性功能衰竭,贫血和深静脉血栓发生率明显较高 (平均年龄65.8岁).
- 非老年人组经历了更长的平均LOS (3.1天对1.96天) 和更高的COC.
- 在大多数比较中观察到统计学意义 (P < .001),包括死亡率,ARF,贫血,DVT,LOS和COC.
结论:
- 接受THA的非老年人有明显更高的骨科和医疗并发症率.
- 增加的COC和LOS是非老年THA患者的重要因素.
- 研究结果强调,需要为接受THA治疗的老年患者量身定制的管理策略和资源配置.
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