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在全膝关节整形术上进行心脏干预:全国性住院患者样本分析

Enzo C Mesarick¹, Varatharaj Mounasamy², Senthil Sambandam²

¹University of Texas Southwestern, 5323 Harry Hines Blvd, Dallas, TX, 75390, USA. enzo.mesarick@utsouthwestern.edu.

Archives of orthopaedic and trauma surgery

|February 29, 2024

概括

在心脏手术后接受全膝关节整形手术 (TKA) 的患者面临风险增加和各种并发症. 个性化护理对于管理这些复杂的病例至关重要.

科学领域:

整形外科手术结果的结果
心血管干预对心血管的影响.
患者风险分层的分层.

背景情况:

并发性心血管疾病与膝关节全关节整形术 (TKA) 的不良结果有关.
了解之前心脏干预患者的TKA结果是有限的.
这项研究分析了基于特定心脏治疗的TKA结果.

研究的目的:

为了描述之前接受过心脏干预的TKA患者.
为了比较不同心脏干预组之间的结果.
确定与TKA心脏病后手术相关的特定风险和并发症.

主要方法:

利用了2016-2019年全国住院患者样本数据库.
包括558,256名接受TKA的患者.
与没有心脏起器 (PM),冠状动脉旁路 (CABG),心脏门手术 (HV) 或冠状动脉支架 (CS) 的患者进行了比较.

主要成果:

心脏干预与年龄较大,男性性别,住院时间较长和成本较高相关.
在PM,CABG和CS组中观察到死亡率增加;在CABG和CS组中增加心肌梗塞.
周围假肢骨折 (PM, HV, CS),机械并发症 (HV),深部手术部位感染 (CABG, CS) 和肺炎 (PM, CABG, CS) 的几率较高.

结论:

以前接受过心脏干预的患者在TKA住院期间面临更高的风险.
风险因素和并发症概况在各种心脏干预组之间存在显著差异.
强调需要个性化医疗护理,并为TKA.患者做出明智的决策.

关键词:

一个心脏病患者的心脏病.进行比较,比较.干预干预干预结果的结果.程序程序是指一个程序.整体膝关节关节整形术膝关节整形术

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