患有骨髓炎的患者的并发症状况与肢体截肢的长期发病率有关
Brian M Schmidt1, Toby P Keeney-Bonthrone2, Armani M Hawes2
1Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA.
BMJ open diabetes research & care
|January 2, 2024
概括
骨髓炎患者面临更高的截肢风险,尤其是糖尿病患者. 识别和管理糖尿病和血管疾病等危险因素对于预防肢体丧失至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 传染性疾病 传染性疾病
- 血管外科 血管外科
背景情况:
- 骨质炎是一种骨感染,导致患者患病率显著,包括肢体截肢.
- 骨髓炎诊断后的长期截肢率需要进一步调查.
研究的目的:
- 为了确定被诊断为骨髓炎的患者在2年内截肢的发生率.
- 确定与骨髓炎患者截肢相关的危险因素.
主要方法:
- 一项观察性队列研究包括了1186名在2004年至2015年期间被诊断患有骨髓炎的住院患者.
- 数据按骨髓炎的位置分层,以评估对截肢,死亡率,再入院和住院病人的影响.
主要成果:
- 糖尿病显著增加了下肢截肢的可能性 (3.65倍),再入院和更长的住院时间.
- 男性性别,黑人种族,前吸烟者,心肌梗塞,充血性心力衰竭,周围血管疾病和脏疾病独立地与截肢有关.
- 糖尿病和周围血管疾病增加了下肢截肢的风险,特别是.
结论:
- 患有骨髓炎的患者出现截肢和住院率较高.
- 人口和并发症风险因素必须纳入临床实践,以减轻截肢风险.
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