在透析患者中进行关节骨折修复的术后结果
Conover Benjamin M1, Wukich Dane K2, Sambandam Senthil2
1University of Texas Southwestern Medical School, Dallas, TX, USA.
末期脏病患者接受关节骨折修复,接受透析,面临心脏病发作,心脏骤停,败血症和肺炎的更高风险. 这些结果凸显了对这种脆弱人群进行仔细的外科手术前管理的关键需求.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 整形外科手术 整形外科手术
- 老年医学 老年医学
背景情况:
- 老年人部骨折与显著的发病率有关.
- 末期病 (ESRD) 患者接受关节骨折修复的结果尚未研究.
- 慢性病 (CKD) 具有独特的手术风险和并发症.
研究的目的:
- 基于透析使用,比较CKD患者进行关节骨折修复的术后结果.
- 在这个患者队列中调查与透析相关的特定风险.
主要方法:
- 利用PearlDiver数据库识别3-5阶段的CKD正在接受关节骨折修复的患者.
- 根据特征和并发症,匹配患者.
- 透析和非透析的CKD患者之间的30天,90天和1年的并发症率比较.
主要成果:
- 被透析的CKD患者在手术后30天和90天内心肌梗塞和心脏骤停的发生率显著增加.
- 败血症和肺炎在30天内透析患者中更频繁地发生.
- 在透析患者中,在30天内没有观察到血液输血风险的统计显著增加.
结论:
- 透析与严重心脏不良事件,毒症和骨骨折修复后肺炎的风险增加有关.
- 研究结果表明,减少膜过率和透析本身有助于这些不良结果.
- 跨学科的合作对于进行关节骨折修复的血液透析患者的管理至关重要.
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