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在NSQIP数据库中,性别确认手术的外科手术风险预测因素

Rishabh K Simhal¹, Kerith R Wang¹, Caroline Purcell¹

¹Department of Urology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.

The Canadian journal of urology

|April 20, 2024

概括

来自NSQIP的术前发病概率 (morbprob) 有效地预测了性别确认手术 (阴道整形和阴道整形) 的并发症. 脆弱性指数没有预测性,强调了morbprob作为这些程序的优越风险评估工具.

科学领域:

医学研究医学研究
外科手术的结果
跨性别者医疗保健服务

背景情况:

性别确认手术 (GAS),包括阴道整形 (PLPs) 和阴道整形 (VGPs),对于跨性别患者的护理至关重要.
了解患者人口统计和手术结果对于改善术后风险评估至关重要.
国家外科质量改进计划 (NSQIP) 数据库为分析外科结果提供了宝贵的资源.

研究的目的:

通过使用NSQIP数据来描述造术和阴道整形术的患者人口统计和手术结果.
评估脆弱性指数的预测值,特别是修改的脆弱性指数 (mFI) 和NSQIP的手术前发病概率 (morbprob),用于GAS的外科风险.
为了比较mFI和morbprob在预测并发症和停留时间 (LOS) 的有效性.

主要方法:

在NSQIP数据库中,从2006年至2020年对初级性别确认手术 (PLP和VGP) 的回顾性分析.
使用NSQIP的修改脆弱指数 (mFI) 和手术前发病概率 (morbprob) 评估基线脆弱性.
对30天并发症率,再入院,再手术和住院时间的分析.

主要成果:

总共分析了58个PLP和468个VGP.
30天的并发症率为PLP的26% (17%小,16%主要) 和VGP的14% (7%小,9%主要).
对于PLP (OR 4.0) 和VGP (OR 2.39) 患者,NSQIP病理试验显著预测了30天后的并发症,并为PLP患者延长了LOS. 多元金融机构没有做出预测.

结论:

这项研究提供了对患者特征和造术和阴道整形术的并发症率的全面概述.
经过验证,NSQIP手术前发病概率 (morbprob) 是手术并发症和长时间入院的有效预测指标.
与修改的脆弱指数 (mFI) 相比,NSQIP病理试验显示出在性别确认手术中对外科手术后期结果的优越预测能力.

关键词:

这是NSQIP.脆弱脆弱脆弱脆弱脆弱性别肯定手术是性别肯定手术.造术 (phalloplasty) 是一种整形手术.风险预测风险预测外科手术的结果.阴道整形手术 (vaginoplasty) 是一种手术.

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