在接受手术的患者中出现重大术后出血的时间
Alex L E Halme1, Pavel S Roshanov2,3,4,5, Sara V Tornberg6
1Faculty of Medicine, University of Helsinki, Helsinki, Finland.
JAMA network open
|April 2, 2024
概括
主要的术后出血事件,通常是严重的并发症,主要发生在非心脏手术后的第一周内. 这种时间对于预防并发症和指导血栓预防决策至关重要.
科学领域:
- 在外科手术期间的医学.
- 外科手术的结果
- 血并发症 血并发症
背景情况:
- 严重出血是一种重要的术后并发症,时间不清楚.
- 了解出血事件的时间对于预防和血栓预防至关重要.
研究的目的:
- 为了确定非心脏手术后30天内发生重大术后出血事件的时间.
主要方法:
- 一个前性队列研究的二次分析.
- 包括45岁以上接受住院非心脏手术的患者.
- 手术后30天的随访记录主要出血事件.
主要成果:
- 超过11%的患者在手术后30天内出现严重出血.
- 42.7%的重大出血事件发生在24小时内,77.7%发生在术后第7天.
- 超过一半的重大出血事件,输血相关出血和死亡相关出血发生在48小时内.
结论:
- 大多数重大术后出血发生在非心脏手术后的第一周内.
- 这些发现有助于研究人员在临床试验设计和临床医生管理出血风险和血栓预防.
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