整体部和膝盖关节整形术后与术后心脏事件相关的危险因素
Shivan N Chokshi1, Vanessa Liu1, William M Weiss2
1John Sealy School of Medicine, The University of Texas Medical Branch, Galveston, Texas.
The Journal of arthroplasty
|September 27, 2023
概括
接受全关节形术的患者面临心脏风险增加. 预先存在的疾病,如先前的心肌梗塞和功能衰竭,显著提高了手术后心脏不良事件的可能性.
科学领域:
- 整形外科手术 整形外科手术
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 在全关节节管整形术后,心脏不良事件是令人担忧的.
- 调查心脏风险因素对于患者的治疗结果至关重要.
研究的目的:
- 确定关节整形手术 (THA) 和膝关节整形手术 (TKA) 后心脏不良事件的发生率.
- 分析与外科手术期间心脏并发症相关的特定风险因素.
主要方法:
- 利用一个大型的国家数据库来提取数据.
- 分析了80,544名THA和112,531名TKA患者.
- 对心脏风险因素进行了千平方和多变量分析,包括糖尿病,功能不足,先前的心脏病发作,高血压和脑血管疾病.
主要成果:
- 34%的THA和52%的TKA患者至少有一种心脏风险因素.
- 有风险的患者在30天内显示出特罗邦升高,心肌梗塞 (MI) 和心力衰竭的几率明显更高.
- 以前的MI是托罗邦升和MI最强的预测因素;心力衰竭的功能不全.
结论:
- 风险分层对于最小化骨科手术中不良结果至关重要.
- 在关节关节整形手术之前,识别和考虑患者的风险因素至关重要.
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