实体器官移植患者进行下肢骨折治疗的术后护理和结果
Daniel Chiou1, Bailey H Mooney2, Brendan Shi1
1Department of Orthopaedic Surgery, University of California Los Angeles, Los Angeles, CA.
Journal of orthopaedic trauma
|February 15, 2024
概括
接受下肢骨折手术的固体器官移植 (SOT) 患者面临90天再入院的高风险 (27.9%) 和显著的死亡率. 多学科的护理对于管理这些复杂的病例和改善患者的治疗结果至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 移植手术 移植手术
- 患者研究成果研究结果
背景情况:
- 固体器官移植 (SOT) 接受者是一个不断增长的人群,具有独特的生理考虑.
- SOT患者的下肢骨折带来了复杂的管理挑战.
- 了解术后结果对于优化护理途径至关重要.
研究的目的:
- 为了评估SOT患者的术后结果,这些患者接受了手术治疗,以治疗下肢骨折.
- 确定与这些程序相关的关键并发症,再接收率和死亡率.
主要方法:
- 在一级创伤中心进行的回顾性比较研究.
- 对手术下肢骨折的SOT患者 (2013-2021年) 的分析,不包括病理骨折.
- 评估的结果包括并发症,停留时间,死亡率,再接收率和出院处置.
主要成果:
- 分析了61名SOT患者 (平均年龄67岁),肝移植接受者是最大的群体.
- 整体死亡率为37.7%,肺移植患者的死亡率最高 (62.5%).
- 观察到27.9%的90天再入院率,精神状态变化和尿生殖系统感染是常见的原因.
结论:
- 接受下肢骨折手术治疗的SOT患者有90天再入院和整体死亡的高风险.
- 多学科团队的参与对于住院护理,并发症监测和出院规划至关重要.
- 家庭成员应被告知有关术后的重大风险.
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