确定选择性部和膝关节关节置换术后24小时出院的术前预测因素
James Murrell1, Nikhil Aravind Khadabadi1, Thomas Moores1
1Trauma and Orthopaedics, Walsall Manor Hospital, Walsall, GBR.
Cureus
|December 25, 2023
概括
门诊下肢关节整形是可行的,特别是在接受部分膝关节置换的65岁以下患者. 这种方法提高了效率,并降低了感染风险,而不会增加再接收.
科学领域:
- 整形外科手术 整形外科手术
- 关节整形术是指关节的整形术.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 选择性医疗服务的恢复凸显了对有效的门诊关节整形手术的需求.
- 门诊关节整形服务可以提高效率并减轻医院获得的感染.
研究的目的:
- 确定预先手术的因素,预测成功的门诊下肢关节整形术.
- 评估部和膝盖关节整形手术当天出院的可行性.
主要方法:
- 对606名接受选择性部和膝关节关节整形手术的患者进行了回顾性审查.
- 分析患者的人口统计,临床分数,并发病症和手术细节.
- 单变量和多变量回归模型用于识别当天出院的预测因素.
主要成果:
- 7.4%的患者在24小时内出院;提前出院并没有增加30天再入院率.
- 年龄较小 (<65岁) 和部分膝关节关节整形手术是同日出院的重要预测因素.
- 早期和晚期出院组之间在并发症,社会经济地位或血液检测方面没有显著差异.
结论:
- 门诊关节整形是一个可行的选择,特别是对于接受部分膝关节手术的年轻患者.
- 患者的年龄和特定的手术类型是成功在同一天出院的关键因素.
- 门诊关节整形可以有效地实施,独立于大多数其他患者因素.
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