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复杂症率在修订中膝关节整形术患者被诊断患有COVID-19 手术后

Kevin Y Heo¹, Janice M Bonsu¹, Brian T Muffly¹

¹Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, Georgia.

The Journal of arthroplasty

|September 27, 2023

概括

修订全膝关节整形术患者感染COVID-19面临肺炎,血栓和再入院的风险更高. 延长预防性抗凝药可以减轻这些严重的结果.

科学领域:

整形外科手术整形外科手术
传染性疾病传染性疾病
公共卫生公共卫生

背景情况:

随着COVID-19大流行,接受修复膝关节全关节整形手术 (rTKA) 的患者面临着独特的挑战.
了解术后COVID-19感染对RTKA恢复的影响对于患者管理至关重要.
这项研究旨在评估在rtka后患者中与COVID-19相关的风险.

研究的目的:

在接受修复全膝关节关节整形手术的患者中描述术后COVID-19感染的风险.
为了比较rTKA患者在COVID-19和没有COVID-19的情况下出现的术后并发症.

主要方法:

在国家数据库中查询了2018年至2021年间接受rTKA的8022名患者.
在手术后90天内确诊COVID-19的患者 (rTKA/COVID阳性) 与对照组相匹配.
多变量后勤回归分析了90天的术后并发症,控制了混因素.

主要成果:

与没有COVID-19的RTKA患者相比,患有COVID-19的RTKA患者的肺炎 (OR=6.1),肺栓塞 (PE) (OR=32.4),深静脉血栓塞 (DVT) (OR=32.4) 和90天再入院 (OR=2.1) 发生率显著更高.
与没有RTKA的COVID-19阳性患者相比,RTKA/COVID阳性组的肺炎 (OR=4.3),PE (OR=36.8) 和DVT (OR=36.8) 发病率较高.
这些发现突出显示,rTKA患者感染COVID-19的不良事件大幅增加.

结论:

在修复全膝关节整形术患者中,术后的COVID-19感染与血栓栓塞事件和肺炎的风险增加有关.
在术后COVID-19的RTKA患者中观察到更高的90天再入院率.
建议在被诊断为COVID-19的rtka患者中延长预防性抗凝剂,以减轻风险.

关键词:

在 COVID-19 疫情中,并发症可能导致并发症.冠状病毒冠状病毒的新冠病毒.整体修复膝关节关节整形术血栓塞栓症血栓塞栓症血栓塞栓症

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