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居民参与肩部稳定程序与30天术后并发症的风险增加无关
John D Jovan1, Aaron J Marcel1, Karen M Myrick1
1Frank H. Netter M.D. School of Medicine, Quinnipiac University, North Haven, Connecticut, U.S.A.
Arthroscopy, sports medicine, and rehabilitation
|August 3, 2023
概括
住院人员参与肩部稳定手术增加了手术时间,但不会增加30天的并发症风险. 这项研究分析了美国外科医生学院国家外科质量改进数据库的结果.
科学领域:
- 整形外科手术 整形外科手术
- 改善外科手术的质量
背景情况:
- 居民参与外科培训对于技能发展至关重要.
- 评估居民参与对患者结果的影响对于质量保证至关重要.
研究的目的:
- 检查住院人员参与肩部稳定手术程序的30天术后结果.
- 通过使用大型国家数据库,评估居民参与和手术结果之间的关联.
主要方法:
- 美国外科医生学院国家外科质量改进数据库 (2010-2018) 的回顾性审查.
- 包括各种肩部稳定程序 (例如,关节镜Bankart,Latarjet).
- 使用统计分析对"单独参加"和"参加和居民"组之间的结果进行比较,包括用倾向评分进行后勤回归.
主要成果:
- 在3,954项肩部稳定手术中,28.8%涉及居民参与.
- 住院人员的参与与更长的手术时间 (91分钟而不是85分钟) 有关.
- 复发率较低,在各组之间相似 (约为0.8%),与居民参与无关的显著增加.
结论:
- 住院人员参与肩部稳定手术与手术时间的增加有关.
- 与居民参与相关的30天术后并发症没有显著增加.
- 这表明,居民参与可以安全地集成到肩部稳定程序中,而不会影响短期的患者安全.
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