在重大紧急腹部手术后,减少体能测量和短期后果之间的关联:一项前性队列研究
Dunja Kokotovic1,2, Aide Schucany3, Liv Soylu4
1Department of Gastrointestinal Surgery, Copenhagen University Hospital-Herlev and Gentofte, Copenhagen, Denmark. Dunja.kokotovic@hotmail.com.
概括
以德·莫顿移动性指数 (DEMMI) 和手握强度来衡量低体力表现,与重大紧急腹部手术患者的严重术后并发症有关. 这些测试可用于评估手术风险.
科学领域:
- 外科手术 手术手术
- 老年学是一门学科.
- 物理疗法物理治疗
背景情况:
- 大型紧急腹部手术带来了重大风险,包括较高的发病率和延长的恢复时间,相比选择性手术.
- 手术后并发症和长时间住院是这种患者群体中常见的挑战.
- 在手术前评估身体功能可能有助于识别有风险的个体.
研究的目的:
- 为了确定低体力能力测试得分是否预测重大紧急腹部手术后手术后并发症的增加.
- 评估在这个患者群体中进行术后体能测试的可行性.
主要方法:
- 一项前性观察队列研究包括488名接受重大腹部手术的患者.
- 使用德·莫顿移动性指数 (DEMMI),手握强度和30秒的椅子站测试来评估身体表现.
- 后勤回归模型分析了性能得分和严重并发症 (Clavien-Dindo等级≥3) 之间的关联.
主要成果:
- 德·莫顿移动性指数 (DEMMI) 和手握强度测试在68%的手术后患者中是可行的.
- 30秒的椅子站测试的可行性很低,只有21%的患者完成了.
- 低的DEMMI分数 (<40) 和低的手握强度是严重的术后并发症 (CD等级≥3) 的独立风险因素.
结论:
- 在DEMMI和手握强度测试中得分较低,在接受重大紧急腹部手术的患者中,与显著的术后并发症 (CD等级≥3) 独立相关.
- 这些身体性能测试可以成为在这种高风险的手术群体中风险分层的有价值工具.
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