在整关节整形术后,当天出院的原因和危险因素:系统性审查
Ramish Sumbal1, Anusha Ashkar1, Anusha Sumbal1
1Dow Medical College, Dow University of Health Sciences, Karachi, Sindh, Pakistan.
Arthroplasty today
|April 26, 2024
概括
整体关节整形术后的同日排泄可能会由于年龄较大,女性性别,非白人种族以及高血压和糖尿病等并发症而失败. 更高的术后疼痛和手术开始时间延迟也会增加失败的风险.
科学领域:
- 整形外科手术 整形外科手术
- 关节质整术是指关节质整术.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 同一天排泄 (SDD) 越来越多地强调全关节整形术 (TJA).
- 尽管SDD的成功率很高,但还是会出现SDD故障.
- 确定SDD失败的预测因素对于患者安全和优化出院协议至关重要.
研究的目的:
- 系统地审查和识别导致在全关节关节整形术后失败的当天排泄的因素.
- 为改善TJA中SDD成功率提供基于证据的见解.
主要方法:
- 使用主要数据库 (PubMed,Scopus,Cochrane,Google Scholar) 进行了系统审查.
- 对11项选定的研究 (157,045名患者) 进行了质量评估,使用了纽卡斯尔-太华得分.
- 数据通过叙事方法进行了合成.
主要成果:
- 老年患者,女性,非白人种族和并发性疾病 (高血压,糖尿病,心血管疾病,慢性肺炎,出血障碍,肥胖) 与失败的SDD有关.
- 类固醇使用,手术开始时间晚,术后疼痛高,美国麻醉学会得分高也被确定为预测因素.
- 这些因素的几率比率差异很大,表明对SDD故障的影响程度各不相同.
结论:
- 在TJA后失败的SDD的关键预测因素包括患者人口统计学,并发症和程序因素.
- 需要进一步的高质量研究来验证这些发现,因为许多因素在有限的研究中得到了评估.
- 这些见解可以为临床决策和患者选择SDD协议提供信息.
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