淋巴细胞过是术后结果的独立预测因素:NSQIP多专业手术队列分析:NSQIP多专业手术队列分析
Carlos Riveros1, Sanjana Ranganathan1, Emily Huang1
1Department of Urology, Houston Methodist Hospital, Houston, Texas, USA.
Nephrology (Carlton, Vic.)
|July 19, 2023
概括
高估计的淋巴细胞过率 (eGFR) 与重新手术,感染,静脉血栓栓塞和手术后长时间住院的风险增加有关. 这一发现突显了高eGFR患者的潜在并发症.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 外科手术的结果
- 流行病学 流行病学
背景情况:
- 高估计的淋巴膜过率 (eGFR) 与整体死亡率的增加有关.
- 高eGFR对术后结果的影响仍未得到充分研究.
研究的目的:
- 调查高EGFR和30天术后结果之间的关联.
- 利用多专业的外科队列来分析这种关系.
主要方法:
- 对成年患者的国家外科质量改善计划数据库的分析.
- 根据性别特异分布,将患者分为低,正常和高的eGFR组.
- 后勤回归模型用于评估高eGFR与不良结果之间的关联,在对人口和临床因素进行匹配后.
主要成果:
- 高的eGFR没有与主要不良结果 (死亡,重新手术,心脏骤停,心肌梗塞,中风) 的复合相关.
- 高的eGFR与重复手术,感染性并发症,静脉血栓栓塞 (VTE) 和长时间停留的几率增加有显著关联.
结论:
- 研究结果表明,高EGFR与30天后不良后果之间存在关联.
- 高的eGFR可能表明需要更密切的监测和量身定制的术后管理.
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