类固醇使用对远距离半径骨折修复后并发症的影响
Theodore Quan1, Frank R Chen2, Peter Howard1
1Department of Orthopaedic Surgery, The George Washington School of Medicine and Health Sciences, Washington, District of Columbia.
Journal of wrist surgery
|August 11, 2023
概括
在接受远端半径骨折手术的患者中,手术前使用类固醇与更长的住院时间有关. 这项研究发现,类固醇使用者没有增加其他并发症的风险.
科学领域:
- 整形外科手术 整形外科手术
- 药理学 药理学是指药理学的学科.
- 健康 结果 研究 研究 结果
背景情况:
- 距离半径骨折 (DRF) 是最常见的上肢骨折.
- 类固醇使用很普遍,影响了外科手术后期的结果.
- 优化对DRF患者的护理需要了解类固醇效应.
研究的目的:
- 为了确定手术前的类固醇使用是否会影响手术前的结果,在接受DRFs的患者进行开放性减少和内部固定.
- 为了比较未使用类固醇和使用类固醇的DRF患者之间的并发症率,停留时间和重新手术.
主要方法:
- 国家数据库 (2007-2018) 的回顾性分析.
- 包括为DRFs进行手术治疗的成年患者.
- 分为两个队伍:没有使用类固醇和手术前使用类固醇.
- 使用双变量和多变量分析评估术后并发症,延长停留时间和重新手术.
主要成果:
- 总共有16,505名患者被分析;360人 (2.2%) 使用手术前类固醇.
- 类固醇使用者显著增加了长时间住院 (>3天) 的风险 (OR=1.646,p=0.012).
- 在类固醇使用与其他评估的术后并发症或重新手术之间没有发现显著的关联.
结论:
- 手术前使用类固醇与在DRF开放减少和内部固定后更长的住院时间有关.
- 类固醇使用与其他研究后术并发症的增加率无关.
- 进一步的研究可能会探索减轻使用类固醇的DRF患者长时间住院的策略.
更多相关视频
05:18Author Spotlight: Ultrasound-Guided Needle Release Combined with Corticosteroid Injection for the Treatment of Supinator Syndrome
Published on: May 26, 2023
1.5K
04:19Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
465
相关概念视频
01:27Fractures: Bone Repair
3.3K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
3.3K
01:23Peripheral Artery Disease V: Postoperative Nursing Management
12
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
12