在接受紧急整体手术 (EGS) 的老年患者中影响短期并发症的变量分析:回顾性队列研究
Abubaker Elamin1,2, Laith Sinan3, Seyedh Paniz H Tari1
1General Surgery, Humanitas University, Milan, ITA.
Cureus
|September 25, 2023
概括
输血和血管压缩剂的使用显著增加了接受紧急整体手术 (EGS) 的老年患者的短期并发症. 尽量减少这些干预措施是改善这一弱势群体结果的关键.
科学领域:
- 老年人手术是一门老年人手术.
- 外科手术的结果
- 患者安全 患者安全
背景情况:
- 紧急一般外科手术 (EGS) 对老年患者具有很高的风险.
- 确定老年EGS患者短期并发症的因素对于改善护理至关重要.
- 这项研究研究了影响老年EGS患者短期并发症的变量.
研究的目的:
- 评估各种患者和治疗变量对短期并发症的影响.
- 确定EGS接受治疗的老年患者不良结果的特定风险因素.
主要方法:
- 对212名65岁以上的患者进行了回顾性队列研究,这些患者接受了紧急腹部手术 (2017-2018).
- 分析包括年龄,性别,BMI,β阻断剂使用,腹部开放,输血,抗凝血剂和血管压缩剂.
- 使用单变量和多变量分析来评估与短期并发症的关联.
主要成果:
- 输血与更高的并发症风险显著相关 (OR 3.01).
- 血管压缩剂的使用与短期并发症增加有很强的相关性 (OR 14.61).
- 这两个因素成为不良事件的关键预测因素.
结论:
- 尽量减少输血对于减少老年EGS的短期并发症至关重要.
- 建议对这种患者群体进行仔细考虑和明智使用血管压缩剂.
- 进一步的研究应该探索额外的因素,以优化术后管理和改善结果.
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