对于综合性骨突症的多释放并发症的频率和预测因素
Sujay Rajkumar1, Daniel S Ikeda2, Michaela Scanlon2,3
1Drexel University School of Medicine, Philadelphia, PA, USA.
概括
在患有综合症的儿童中,骨突手术后同时出现的并发症与心脏和肺部问题有关,而不是手术因素. 手术前的营养支持也会增加风险,有助于更好地评估风险.
科学领域:
- 儿科手术 儿科手术
- 面外科手术 面外科手术
- 手术结果研究研究.
背景情况:
- 在患有综合征的儿童中,骨突手术涉及复杂的多修复.
- 了解同时出现的术后并发症对于患者的安全至关重要.
- 有限的数据存在于这个特定的儿科群体的并发症模式.
研究的目的:
- 为了调查同时发生的术后并发症的发生率和模式,在综合症儿童接受多头部突修复.
- 确定与这些并发症相关的预测因素.
- 探索并发症和患者结果之间的关系.
主要方法:
- 使用国家外科质量改善计划-儿科数据库 (2012-2020) 的回顾性队列研究.
- 纳入标准:患有综合征诊断和需要手术的多头部突症的儿童.
- 分析的重点是并发症,相关因素和与结果的相关性.
主要成果:
- 在5,848名儿童中,2.75%患有并发症 (两种或更多).
- 出血/输血是最常见的单一并发症 (69.53%).
- 同时并发症的关键独立预测因素包括心脏风险因素,之前的心脏手术,手术前的呼吸机依赖,结构性肺/呼吸道异常和营养支持.
结论:
- 心脏和肺的并发症,以及手术前的营养支持,是综合性关节缩手术中并发症的显著独立预测因素.
- 没有发现程序因素与并发症独立相关.
- 这些发现可以提高这些复杂的儿科病例的手术前咨询和风险分层.
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