经过全膝关节整形手术的合法失明患者的外科并发症:国家住院患者样本数据库研究
Shubhang Bhalla1, Nikit Venishetty1, 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 10, 2023
概括
接受全膝关节整形术 (TKA) 的合法失明患者年龄较大,成本较高,住院时间较长. 他们还面临着TKA手术后增加的并发症风险,如失血性贫血和周围假肢骨折.
科学领域:
- 整形外科 整形外科 整形外科
- 眼科医生 眼科 眼科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 视力障碍,特别是法律失明 (LB),是一个全球性健康问题,与增加的发病率和死亡率有关.
- 合法失明的患者面临更高的住院率,成本和骨科并发症.
- 关于经过全膝关节整形手术 (TKA) 的法律盲人个体的特征和结果的数据有限.
研究的目的:
- 调查经过TKA的法律盲患者的人口特征,住院模式和手术结果.
- 为了比较法律盲患者和接受TKA的匹配对照组之间的结果.
- 解决法律盲人群体中关于TKA的文献上的差距.
主要方法:
- 全国住院患者样本数据库 (2016-2020年) 的回顾性分析.
- 法律盲患者 (0.1%的队列) 与接受TKA的对照组进行比较.
- 评估术后并发症,停留时间 (LOS) 和医疗保健支出.
- 倾向匹配控制混因素,并确定与并发症的关联.
主要成果:
- 法律上盲目的TKA患者年龄较大 (70.01岁对66.72岁),LOS较长 (2.9日对2.4天),支出较高 (68,936美元对64,808美元).
- 在LB组中,TKA相关并发症的更高率包括失血性贫血 (20.97%对比15.3%),需要输血 (3.1%对比1.5%),以及周围假肢骨折 (2.6%对比0.42%).
- 倾向匹配证实了这些发现.
结论:
- 接受TKA的合法失明患者具有较老的人口统计数据,扩展的LOS,增加的医疗保健成本和特定手术并发症的风险.
- 这项研究提供了第一个大规模的,基于人群的关于法律盲人个人TKA结果的数据.
- 研究结果强调需要有针对性的策略和进一步的研究,以优化对法律失明患者的TKA护理.
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