最近流感和没有流感的患者手术后的结果:全国性基于人口的研究
Fai Lam1,2, Chien-Chang Liao2,3,4,5,6, Ta-Liang Chen3,4,7
1School of Public Health, College of Public Health, Taipei Medical University, Taipei, Taiwan.
Frontiers in medicine
|June 26, 2023
概括
最近的流感感染显著增加了术后并发症的风险,特别是当在手术前七天内发生时. 这一发现凸显了在手术患者管理中考虑流感状况的重要性.
科学领域:
- 医学研究 医学研究
- 流行病学 流行病学
- 外科手术的结果
背景情况:
- 最近流感对外科手术前后果的影响需要进一步调查.
- 了解这种关系对于优化患者护理至关重要.
研究的目的:
- 调查最近流感感染与手术后并发症之间的关联.
- 在手术前确定患有流感病史的患者的死亡和并发症风险.
主要方法:
- 一项使用台湾国家健康保险研究数据 (2008-2013) 的外科队列研究.
- 包括20544名近期流感患者和10272名没有流感的匹配对照.
- 对并发症和死亡率进行几率比率 (ORs) 和95%置信区间 (CI) 的计算.
主要成果:
- 在手术前1-7天内感染流感会增加肺炎 (OR 2.22),败血症 (OR 1.98),急性功能衰竭 (OR 2.10) 和尿路感染 (OR 1.45) 的风险.
- 在手术前1-14天内患有流感的患者显示,重症监护室的入院次数增加,住院时间延长,医疗费用增加.
结论:
- 在手术前流感 (14天内) 和术后并发症增加之间存在显著的关联.
- 当流感发生在手术前七天内时,风险特别高.
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