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可卡因对接受全关节整形手术的患者的影响

Nikit Venishetty¹, Ivy Nguyen², Garrett Sohn²

¹Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center, 5001 El Paso Dr, El Paso, TX, USA.

Journal of orthopaedics

|August 9, 2023

概括

接受关节整形手术 (THA) 的可卡因使用者经历了更长的住院时间,更高的成本和更多的并发症. 这突出了与THA在这个患者群体中相关的重大风险.

科学领域:

整形外科手术整形外科手术
公共卫生公共卫生
药物滥用研究药物滥用研究

背景情况:

可卡因的使用量正在增加,对医疗保健系统造成重大财务和临床负担.
可卡因使用者面临更长的住院时间,更高的成本,更差的手术结果,以及增加的医疗风险,包括骨关节炎.
了解这些风险对于优化接受关节整形手术 (THA) 患者的护理至关重要.

研究的目的:

确定影响住院时间,费用和术后并发症的因素,可卡因使用者接受THA.
为了比较经过THA的可卡因使用者 (CU) 和非可卡因使用者 (NCU) 之间的结果.
为了为减轻这一患者群体风险的策略提供信息.

主要方法:

利用国家住院样本 (NIS) 数据库来获得全面的患者数据.
使用SPSS进行统计分析,包括倾向匹配和显著性测试.
进行全关节整形手术的可卡因使用者和非可卡因使用者之间的比较结果.

主要成果:

可卡因使用者在THA.后的停留时间 (4,8天与2.6天相比) 和医疗费用 (87,984.9美元与69,149.2美元相比) 显著增加,可卡因使用者在THA.后的停留时间 (4,8天与2.6天相比) 和医疗费用 (87,984.9美元与69,149.2美元) 显著增加.
可卡因使用者表现出更高的失血性贫血,输血,周围假肢脱和周围假肢感染率.
几率比率表明,可卡因使用者群体中这些并发症的风险显著增加.

结论:

可卡因使用与显著延长住院时间,增加医疗保健费用,以及THA后手术后并发症的发病率较高有关.
这些发现强调了可卡因使用对THA结果的重大影响.
这些数据强调了针对接受关节整形手术的可卡因使用者需要有针对性的干预措施和风险管理策略.

关键词:

这是可卡因可卡因.照顾的费用是照顾的成本.逗留时间逗留时间整体关节整形术关节整形术

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