糖尿病和全关节整形术并发症
Jordan Helbing1, Benjamin Farley1, Alex Gu1
1Department of Orthopaedic Surgery, The George Washington University, Washington, DC, USA.
Foot & ankle international
|February 8, 2024
概括
糖尿病增加了周围假肢关节感染 (PJI) 的风险,并在全脚关节整形术 (TAA) 后发生败血症修复. 然而,糖尿病并没有影响这项研究中所有原因修订TAA的总体率.
科学领域:
- 整形外科手术 整形外科手术
- 糖尿病学 糖尿病学
- 流行病学 流行病学
背景情况:
- 关节整形术 (TAA) 的并发症包括感染和松.
- 糖尿病是术后并发症的潜在危险因素,但其对TAA结果的影响仍在争论中.
研究的目的:
- 为了研究糖尿病对TAA后的中期结果的影响.
- 为了确定糖尿病是否会增加TAA后特定并发症的风险.
主要方法:
- 对TAA患者的保险数据库 (2010-2021) 的回顾性分析.
- 在糖尿病患者和非糖尿病患者之间比较结果 (周围假肢关节感染,败血症/无菌检查,所有原因检查).
- 卡普兰-梅尔和考克斯的比例危险分析,至少2年后续.
主要成果:
- 糖尿病与5年后95%增加周围假肢关节感染 (PJI) 的风险相关 (7.3%对3.9%).
- 糖尿病患者在5年内有363%更高的败血症复查风险 (1.4%对0.4%).
- 在各组之间没有观察到任何原因修订TAA的5年累计发病率的显著差异.
结论:
- 糖尿病与TAA后PJI和败血症修复的风险更高有关.
- 在TAA之后,所有原因修订的风险在糖尿病患者和非糖尿病患者之间没有显著差异.
- 这些发现强调了在接受TAA的患者中管理糖尿病的重要性.
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