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术前贫血是术后并发症的风险因素,在开放式缩减后内部固定距离半径骨折

Alexander R Garcia¹, Kenny Ling², Samer Al-Humadi²

¹Renaissance School of Medicine at Stony Brook University, Stony Brook, NY.

Journal of hand surgery global online

|December 18, 2023

概括

手术前的贫血增加了远端半径骨折手术后并发症的风险. 即使是轻微的贫血也与更高的输血率,再入院率和死亡率有关.

科学领域:

整形外科手术整形外科手术
麻醉学麻醉学
内部医学内部医学

背景情况:

距离半径骨折 (DRFs) 很常见,在美国每年有超过64万例.
美国贫血患病率上升,影响近7%的人口.
手术前贫血可能是DRF患者手术后果的重要风险因素.

研究的目的:

调查手术前贫血和手术固定DRFs后的短期并发症之间的关联.
为了确定贫血的严重程度是否会影响DRF手术后的术后结果.

主要方法:

利用美国外科医生学院国家外科质量改进计划数据库 (2015-2020).
包括接受DRF开放降解内部固定 (ORIF) 的患者.
采用多变量逻辑回归来分析术前贫血和术后并发症之间的联系,调整人口统计和并发症.

主要成果:

分析了12,068名患者,将他们分为正常,轻度贫血和严重贫血队列.
任何手术前的贫血都独立地与增加的再输管率,输血,败血性休克,再入院,非家庭出院和死亡率有关.
与轻度贫血相比,严重的贫血显示出更高的输血率,非家庭出院率和死亡率.

结论:

手术前贫血 (轻度和重度) 是DRF或IF后30天术后并发症的重要预测因素.
在手术前治疗贫血可能对改善患者的治疗结果至关重要.
这些发现强调了在接受DRF手术的患者中查和治疗贫血的重要性.

关键词:

距离半径骨折距离半径骨折开放式减速内部固定装置术后并发症术后并发症在手术前出现的贫血.

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