住院患者与门诊患者的关节整形手术:对90天并发症的州内数据库分析
Mallory C Moore1, Jeremy A Dubin1, Sandeep S Bains1
1Lifebridge Health, Sinai Hospital of Baltimore, Rubin Institute for Advanced Orthopedics, Baltimore, MD, USA.
Journal of orthopaedics
|August 21, 2023
概括
门诊全关节整形术 (TJA) 是安全的,并且与特定患者的住院TJA相比,并发症较少. 这项研究使用州数据比较了住院和门诊TJA的风险因素和结果.
科学领域:
- 整形外科手术 整形外科手术
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 医疗保健政策倡议正在推动人们对成本效益高的医疗保健服务的兴趣.
- 门诊全关节整形术 (TJA) 提供潜在的成本节约和患者益处.
- 需要进一步调查当天排放协议的安全性和有效性.
研究的目的:
- 为了比较门诊关节整形手术的风险因素.
- 为了比较住院和门诊TJA之间的术后并发症发生率.
- 使用州内数据库分析TJA结果.
主要方法:
- 来自马里兰州数据库的7817名TJA患者的回顾性分析 (2022年).
- 在住院和门诊队列之间比较人口统计变量,并发症和90天并发症率.
- 多变量后勤回归用于识别并发症的独立风险因素.
主要成果:
- 门诊TJA患者更有可能结婚,白人,说英语,糖尿病,COPD和肥胖率较低.
- 在门诊队列中观察到急性损伤和感染的发病率较低.
- 住院关节整形和高血压是总并发症的独立风险因素.
结论:
- 与住院TJA相比,门诊TJA表现出较少的并发症.
- 门诊关节整形可以是一个安全的选择,为精心挑选,更健康的患者.
- 共享决策应考虑患者特定的因素,以获得最佳的TJA结果.
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