在接受重大腹部手术的老年人中,术前贫血与早期术后发病率有关:一项前性观察性研究
Phui S Au Yong1,2, Yuhe Ke1,2, Eunice J Y Kok1
1Division of Anaesthesiology and Perioperative Medicine, Singapore General Hospital, Singapore, Singapore.
Canadian journal of anaesthesia = Journal canadien d'anesthesie
|January 5, 2024
概括
在接受重大腹部手术的老年人中,手术前的贫血与更糟糕的结果有关. 严重的贫血与增加的并发症,更长的住院时间和医院外生存时间减少有关.
科学领域:
- 老年医学 老年医学
- 外科手术的结果
- 麻醉学 麻醉学
背景情况:
- 老年患者生理储备减少,在重大腹部手术期间增加脆弱性.
- 手术前贫血是不良术后结果的已知预测因素.
研究的目的:
- 在接受重大腹部手术的老年患者中,调查术前贫血严重程度与早期术后发病率之间的关联.
主要方法:
- 从2017年至2021年在新加坡一家三级医院进行的前性观察研究.
- 收集的数据包括人口统计,并发症,手术内细节,输血,术后发病率调查并发症,活着和出院的天数 (DaOH),住院时间和死亡率.
- 分析了469名患者的数据,其中37.5%患有手术前贫血.
主要成果:
- 贫血与年龄较大,并发症指数得分较高,糖尿病和美国麻醉学会身体状况 (ASA PS) III/IV较高有关.
- 贫血的严重程度与早期术后发病率 (第5天) 相关联,血液输血增加,住院时间长,在30天和6个月后DaOH减少.
结论:
- 术前贫血与老年人中术后结果较差有显著联系.
- 进一步的研究应该探索生活质量,患者报告的结果和健康经济学,以充分评估贫血的影响.
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