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吸烟是门诊全肩关节整形术并发症的独立危险因素
Kenny Ling1, Emma Smolev1, Ryan P Tantone2
1Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, USA.
JSES international
|November 16, 2023
概括
目前或最近的吸烟增加了心肌梗塞,深静脉血栓形成和门诊全肩关节整形术 (TSA) 后再入院的风险. 吸烟者可能需要更长的住院时间来改善结果.
科学领域:
- 整形外科手术 整形外科手术
- 公共卫生 公共卫生
- 患者安全 患者安全
背景情况:
- 吸烟是术后并发症的一个重要危险因素.
- 关于吸烟对门诊全肩关节整形术 (TSA) 的影响的数据有限.
研究的目的:
- 调查吸烟状态和外科医院TSA后早期术后并发症之间的关联.
- 使用大型的国家数据库进行全面分析.
主要方法:
- 查询了美国外科医生学院国家外科质量改进计划数据库 (2015-2020).
- 定义的吸烟状态是手术前12个月内的任何吸烟.
- 采用多变量逻辑回归来确定吸烟与门诊TSA的30天并发症之间的关联.
主要成果:
- 当前或最近吸烟者 (10.4%) 在门诊TSA后显著增加了心肌梗塞 (OR 9.80),深静脉血栓 (OR 20.05) 和再入院 (OR 2.82) 的几率.
- 再入院经常是由于肺部并发症 (22.7%).
结论:
- 吸烟独立地与心肌梗塞,深静脉血栓形成和门诊TSA再入院的风险增加有关.
- 考虑目前或最近接受TSA的吸烟者至少入院2晚.
- 优化患者选择对于改善结果至关重要,随着门诊TSA的增加.
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