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在骨骨折手术后,骨折相关感染的危险因素
Kristian Pilskog1, Pål Høvding2, Anne Marie Fenstad3
1Department of Orthopaedic Surgery, Haukeland University Hospital, Pb 1400, Bergen 5021, Norway; Department of Clinical Medicine (K1), University of Bergen, Norway Pb 7804, Bergen 5020, Norway.
骨折相关感染 (FRI) 影响9%的脚骨折手术. 高龄,充血性心力衰竭,外围动脉疾病和吸烟是发展FRI的关键危险因素.
科学领域:
- 整形外科手术 整形外科手术
- 传染病流行病学 传染病流行病学
背景情况:
- 骨骨折手术带有骨折相关感染 (FRI) 的风险.
- 确定手术前的风险因素对于患者管理和知情同意至关重要.
- 在手术前可以解决可修改的风险因素,以潜在地减少并发症.
研究的目的:
- 在接受骨骨折手术治疗的患者中,确定与骨折相关感染 (FRI) 相关的重大风险因素.
- 提供有助于术前规划和患者咨询关于FRI风险的数据.
主要方法:
- 在2015-2019年间,对1004名因脚骨折而接受手术治疗的患者进行了回顾性队列研究.
- 为了诊断FRI,检查了患者的病历和放射图.
- 用二进制物流回归分析来确定风险因素.
主要成果:
- 在1004名患者中,FRI的患病率为9% (87名).
- 已确定的FRI风险因素包括晚年,充血性心力衰竭 (CHF),外围动脉疾病 (PAD) 和目前的吸烟.
- PAD和CHF表现出与FRI最强烈的关联,赔率比分分别为4.2和4.7.
结论:
- 这项研究证实,骨骨折手术后的FRI率为9%.
- 鉴定出的风险因素凸显了需要谨慎,多学科的方法,特别是对于老年或脆弱的患者.
- 这些发现有助于外科医生在手术前告知患者他们个体FRI风险.
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