调查周末效应在管理上肢和下肢脱伤害的研究
Kaamya Varagur1, Janessa Sullivan1, Sarah N Chiang1
1From the Division of Plastic and Reconstructive Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Mo.
Plastic and reconstructive surgery. Global open
|October 18, 2023
概括
周末出现肢体脱伤害与截肢风险增加有关. 患者可能会接受不同的干预措施,影响严重四肢损伤的结果.
科学领域:
- 创伤外科 手术 创伤外科
- 整形外科手术 整形外科手术
- 肢体的重建 肢体的重建
背景情况:
- 周末的演示与紧急条件下较差的结果有关.
- 一个存在的存在.
- 周末效应是周末的效应.
- 在四肢脱伤害仍然没有得到充分的研究.
研究的目的:
- 调查周末演讲对肢体脱伤害的管理和结果的影响.
- 为了确定周末的展示是否会影响干预策略和截肢风险.
主要方法:
- 对患有开放四肢脱伤害的成年人进行回顾性队列研究 (2018年6月 - 2022年5月).
- 倾向性得分加权,以调整周末和周日呈现之间的基线差异.
- 权重回归分析以评估干预的差异,截肢风险,并发症和功能缺陷.
主要成果:
- 在100例受伤中,有39%的受伤发生在周末,受伤严重程度得分和非胰岛素依赖性糖尿病率更高.
- 周末呈现与脚/自由片和骨移植的减少率有关,并且增加了负压伤口治疗的使用.
- 周末呈现独立增加了四肢截肢的风险 (OR 2.27,P=0.05).
结论:
- 周末出现肢体脱损伤可能会导致改变治疗途径.
- 周末的演示是脱伤害患者截肢的独立风险因素.
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