在患有骨骨折的患者中进行手术前心声扫描:一个前性队列研究
Carlo Rostagno1, Camilla Tozzetti1
1Department of Experimental and Clinical Medicine, University of Florence, Firenze, Italy.
Annals of medicine and surgery (2012)
|October 9, 2023
概括
在高风险关节骨折患者的术前心声造影没有延迟手术或住院. 这种心脏评估可以在不影响手术时间的情况下优化护理,有利于患者的结果.
科学领域:
- 心脏病学 心脏病学
- 整形外科手术 整形外科手术
- 老年医学 老年医学
背景情况:
- 临床指导方针建议在关节骨折患者手术前进行心声回声检查.
- 缺乏评估其对手术结果影响的前性研究.
研究的目的:
- 评估手术前心声学对手术及时性,住院时间 (LOS) 和高风险关节骨折患者住院死亡率的影响.
主要方法:
- 一项前性研究包括255名关节骨折患者,122人接受了心声回声扫描.
- 在高风险患者中进行了心声扫描 (静心声,不稳定状态,心力衰竭,冠心病).
- 在回声心脏图 (高风险) 和无回声心脏图 (低风险) 组,以及历史对照组 (717名患者) 之间比较了结果.
主要成果:
- 心声组的冠心病,心房动和并发症的发病率更高.
- 手术的时间和LOS在回声心脏图和无回声心脏图组之间是相似的.
- 住院死亡率在两组之间没有显著差异 (1.9%对1.7%),但低于对照组 (4.1%).
结论:
- 在高风险关节骨折患者的术前心声学并没有延迟手术或增加LOS.
- 心声学可以指导麻醉选择,术后护理和医疗治疗,而不会影响手术时间.
- 这种方法可以优化高风险关节骨折患者的管理.
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