修改虚弱指数与气管切除术的术后结果之间的关联
Sree Chinta1, Afash Haleem1, Dhiraj R Sibala1
1Department of Otolaryngology-Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, NewJersey, USA.
五项修改脆弱指数 (mFI-5) 与气管切除术患者的术后并发症和死亡率增加有关. 这个指数可以有效地根据手术风险对患者进行分层.
科学领域:
- 外科手术的结果
- 患者风险分层患者风险分层
- 麻醉学 麻醉学
背景情况:
- 五项修改的脆弱性指数 (mFI-5) 用于各种手术过程中的风险分层.
- 它在预测气管切除术后并发症方面的实用性以前没有得到证实.
研究的目的:
- 为了研究mFI-5得分和术后并发症发生率之间的关联,在接受气管切除术的患者.
- 确定mFI-5是否可以作为一个工具来对这个患者群体的手术风险进行分层.
主要方法:
- 对2005年至2018年国家外科质量改进计划数据库进行了回顾性审查.
- 根据五种关键并发症,mFI-5计算了4438名气管切除术患者的mFI-5.
- 使用单变量和多变量分析来评估mFI-5分数与不良结果之间的关系.
主要成果:
- 较高的mFI-5分数与吸烟,呼吸不全,肥胖,类固醇使用,紧急手术,并发症,重新手术和死亡率的增加相关 (P < .001).
- 多变量分析显示,较高的mFI-5得分与任何并发症 (OR: 1.49,P = .035),死亡率 (OR: 2.32,P = .019) 和医疗并发症 (OR: 2.75,P < .001) 之间存在显著联系.
结论:
- mFI-5评分显示,在接受气管切除术的患者中,术后并发症和死亡率存在显著关联.
- mFI-5是分层分层操作风险在气管切除术患者中的一个有价值的工具.
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