根据年龄增加手术时间和更长的住院时间的风险在全关节整形术中
Emily M Peairs1, Albert T Anastasio2, Billy Kim1
1Duke University School of Medicine, Durham, North Carolina.
Foot & ankle specialist
|September 7, 2023
概括
关节整形术 (TAA) 的结果因年龄而异,年轻患者经历更长的手术,老年患者面临更长的住院时间. 55-70岁的年龄组显示了最低的术后并发症风险.
科学领域:
- 整形外科手术 整形外科手术
- 关节塑造研究 关节塑造研究
- 老年医学 老年医学
背景情况:
- 在美国,全关节整形术 (TAA) 越来越多地在年轻人群中进行.
- 了解特定年龄的结果和并发症对于TAA至关重要.
- 这项研究分析了不同年龄人口的TAA结果.
研究的目的:
- 分析按患者年龄分层的关节整形术 (TAA) 结果和并发症.
- 为了确定操作时间,住院时间和再入院率的年龄相关差异.
- 在不同年龄组中为TAA进行术后风险评估提供信息.
主要方法:
- 从2012年到2020年,对1619个初级和修订TAA进行了回顾性分析.
- 患者被分为三个年龄组:<55,55-70,和>70岁.
- 单变量和多变量分析比较了人口统计,并发病,操作因素和30天的结果.
主要成果:
- 55岁以下的患者的手术时间显著延长.
- 70岁以上的患者住院时间更长,非家庭出院率更高.
- 55-70岁的年龄组在统计学上表现出更低的再入院风险;在手术后并发症方面,两组之间没有发现显著差异.
结论:
- 在所有年龄组中,TAA的发病率正在上升,需要对年龄特定的风险评估.
- 年轻患者 (<55) 的手术时间更长,体质量指数更高.
- 55-70岁的患者患上术后并发症的风险最低,而70岁以上的患者面临更长时间住院和非家庭出院的风险.
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