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在接受腰椎脊髓融合的患者中,输血的预测因素
Jeremy C Heard1, Nicholas Siegel2, Goutham R Yalla3
1Department of Orthopaedic Surgery, Rothman Orthopaedic Institute at Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
World neurosurgery
|May 31, 2023
概括
年龄较大,体重指数较低,以及更多的融合水平增加了腰部融合手术后输血的风险. 较高的手术前血红蛋白和修复手术被发现是保护因素.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 麻醉学 麻醉学
- 输血医学 输血医学
背景情况:
- 外科手术期间输血是腰部融合手术中常见的并发症.
- 识别风险因素对于优化患者的治疗结果和管理血液资源至关重要.
研究的目的:
- 在经历腰部融合的患者中确定术后输血的独立预测因子.
- 分析腰部融合的不同手术方法中的风险因素.
主要方法:
- 对3842名接受腰部融合治疗的成年患者进行了回顾性队列研究.
- 通过图表查询收集的数据,主要结果是输血.
- 用于评估回归模型的接收机运行特征曲线分析.
主要成果:
- 总体而言,7.3%的患者需要输血.
- 预测因手术方法而异,但包括年龄较大,更多水平融合,更长的手术时间和更高的并发症指数.
- 较高的手术前血红蛋白和修复手术在多种方法中具有保护性.
结论:
- 老年,较低的体重指数,较高的并发症指数,较长的手术时间和更多的化水平是输血的独立预测因素.
- 较高的手术前血红蛋白水平和男性性别是某些融合类型的保护因素.
- 没有发现手术方法与输血风险有关.
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