慢性类固醇使用,并发症和再入院后的复杂情况 开放式缩减 内固定距离半径骨折的内部固定
Steven H Liu1, Patricia Cerri-Droz1, Kenny Ling1
1Department of Orthopaedics, Stony Brook University, Stony Brook, NY.
Journal of hand surgery global online
|December 18, 2023
概括
慢性类固醇使用增加了远端半径骨折手术后的并发症和再入院风险. 男性性别和COPD是这些患者再入院的关键风险因素.
科学领域:
- 整形外科手术 整形外科手术
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 距离半径骨折 (DRF) 越来越常见.
- 长期使用类固醇会增加骨脆弱性和骨折风险.
- 类固醇使用可能会对DRF修复结果产生负面影响.
研究的目的:
- 调查术前慢性类固醇使用与术后并发症之间的关联.
- 为了检查慢性类固醇使用和DRF修复后再入院之间的联系.
- 为了确定与接受DRF手术的类固醇使用者重新入院相关的患者因素.
主要方法:
- 利用美国外科医生学院国家外科质量改进数据库 (2015-2021).
- 对DRF的开放降低内部固定 (ORIF) 后分析了30天的术后并发症.
- 采用多变量逻辑回归来评估类固醇使用,并发症和再录取之间的关系.
主要成果:
- 慢性类固醇使用独立地与重大,轻微和整体并发症有关.
- 类固醇使用与深静脉血栓形成和再入院率的增加有关.
- 男性性别和慢性阻塞性肺病 (COPD) 是重新入院的主要预测因素.
结论:
- 在手术前的慢性类固醇使用与DRF ORIF后的更高的术后并发症率相关.
- 确定类固醇使用是危险因素有助于术前分层和患者咨询.
- 男性性别和COPD是使用类固醇的DRF患者再入院的重要风险因素.
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