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高血压和术后并发症随着关节镜旋转手套修复
Rachel A Loyst1, Kenny Ling1, Steven H Liu1
1Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, USA.
JSES international
|November 16, 2023
概括
高血压增加了关节镜旋转手套修复 (aRCR) 后并发症的风险. 这种情况是RCR手术后再入院的独立预测因素.
科学领域:
- 整形外科手术 整形外科手术
- 心血管健康 心血管健康
- 患者安全 患者安全
背景情况:
- 高血压是一种普遍的并发症,影响了手术的结果.
- 高血压对术后并发症的影响在关节镜旋转手套修复 (aRCR) 后需要进一步调查.
研究的目的:
- 检查在接受aRCR的患者中高血压和术后并发症之间的关联.
- 在这个患者群体中确定与高血压相关的特定并发症.
主要方法:
- 美国外科医生学院国家外科质量改进计划数据库 (2015-2021) 的分析.
- 包括46,562名接受aRCR的患者.
- 多变量后勤回归用于确定并发症的独立预测因子.
主要成果:
- 高血压与许多并发症和人口统计因素有关.
- 与高血压相关的重大并发症包括肺炎,再输管,尿道感染,中风,心肌梗塞,长时间通风,再入院,非家庭出院和死亡率.
- 高血压独立地预测了再入院 (OR 1.41;95% CI 1.13-1.75).
结论:
- 高血压是aRCR后不良术后结果的重要危险因素.
- 血压升高是关节镜旋转手套修复后再入院的独立预测因素.
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