COVID-19大流行对下肢截肢的间接影响 - - 一项澳大利亚研究
Lakmali Anthony1, Madeline Gillies2, Vikram Iyer1
1Department of Vascular Surgery, Northern Health, Epping, Victoria, Australia.
Vascular health and risk management
|December 18, 2023
概括
由于COVID-19的流行,下肢截肢的数量增加了4.3%,而对外周血管疾病患者的大型截肢的数量增加了19%. 这凸显了卫生危机期间血管护理中断的现象.
科学领域:
- 血管外科 血管外科
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- COVID-19大流行扰乱了日常医疗保健,影响了患有外周血管疾病 (PVD) 等慢性疾病的患者.
- 医疗保健提供中断可能导致PVD患者的不良结果,需要对截肢趋势进行评估.
研究的目的:
- 评估COVID-19流行病对澳大利亚PVD患者下肢截肢的影响.
- 分析疫情期间截肢率,征兆和手术紧急性的变化,与疫情前时期相比.
主要方法:
- 利用了澳大利亚血管审计的数据,用于维多利亚州的下肢截肢.
- 分析了COVID-19大流行开始前后22个月的截肢数据.
主要成果:
- 截肢总数增加了4.3% (1770年至1850年),主要截肢增加了19%.
- 由于动脉衰竭而导致的截肢数量增加了11% (474至526),这表明再血管化的潜在中断.
- 半紧急截肢增加了32%,而选择性和紧急手术分别下降了14%和18%.
结论:
- 流行病与PVD患者的整体和主要下肢截肢的增加相关.
- 血管再血管化程序的中断可能导致截肢的增加,特别是与动脉衰竭相关的截肢.
- 这些发现强调了慢性病患者在全球危机期间的脆弱性,并为未来的医疗保健服务提供和流行病准备策略提供了信息.
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