比较30天的结果后,新兴脊柱手术执行"在小时"vs"小时后"的30天的结果
Gabrielle Santangelo1, Nathaniel Ellens2, Aman Singh2
1Department of Neurosurgery, University of Rochester Medical Center, Rochester, NY, USA gabrielle.santangelo@urmc.rochester.edu.
International journal of spine surgery
|July 24, 2023
概括
在工作时间后进行的紧急脊柱手术,与在工作时间内进行的手术相比,30天的结果没有显著差异. 这一发现支持对脊柱紧急情况的及时干预,无论一天中的时间如何.
科学领域:
- 神经外科 神经外科
- 整形外科手术 整形外科手术
- 创伤外科 手术 创伤外科
背景情况:
- 脊柱损伤需要迅速干预,以获得最佳的患者结果.
- 脊柱紧急情况的早期手术干预可能需要在标准营业时间之外进行操作.
- 之前的研究表明,与外科手术相关的潜在风险增加.
研究的目的:
- 调查突发性脊柱手术的时间 (在手术期间或之后) 是否会影响患者的治疗结果.
- 为了比较30天的脊柱手术结果,这些手术是在正常时间进行的,而不是在正常时间后进行的.
主要方法:
- 单中心回顾性队列研究紧急脊柱手术在呈现后6小时内.
- 从2015年1月到2019年12月收集的数据.
- "在手术期间" (上午8点至下午5点,周一至周五) 和"在手术结束后" (晚上,晚上,周末) 的30天结果的比较.
主要成果:
- 在手术长度,血液损失或神经改善方面没有观察到显著差异 (美国脊髓损伤协会规模).
- 在不同组之间,30天返回手术室,再入院,ICU停留时间,住院时间和死亡率的比例相似.
- 在单变量或多变量分析中,上班后手术并不是30天不良结果的预测因素.
结论:
- 突发性脊柱手术经常发生在标准时间后.
- 紧急脊柱手术的日间时间不会显著影响30天的患者结果.
- 对于脊柱紧急情况的及时手术干预至关重要,无论手术时间表如何.
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