按比例的死亡率后的异血管部分脚截肢和如何这与跨截肢截肢相比较:一个系统的审查
Zoe Ward1, Emily Ridgewell1, Matthew Quigley1
1Department of Physiotherapy, Podiatry and Prosthetics and Orthotics, La Trobe University, Melbourne, Australia.
Disability and rehabilitation
|May 22, 2024
概括
随着时间的推移,经过异血管部分脚截肢 (PFA) 后的死亡率显著增加,在5年内达到42.2%. 截肢截肢 (TTA) 与PFA相比,在一年内死亡的风险更高.
科学领域:
- 血管外科 血管外科
- 足部外科手术 足部外科手术
- 康复医学 康复医学 康复医学
背景情况:
- 缺血截肢,包括部分脚截肢 (PFA) 和横腿截肢 (TTA),与高死亡率有关.
- 周围血管疾病和糖尿病是导致长期并发症和截肢后死亡率的主要原因.
- 准确,最新的死亡率数据对于手术咨询和患者资源至关重要.
研究的目的:
- 系统地审查和描述经过失血管PFA后的比例死亡率.
- 为了比较dysvascular PFA和TTA之间的比例死亡率.
- 综合目前关于下肢截肢后死亡趋势的证据.
主要方法:
- 2016年1月至2024年4月期间以英语出版的同行评审研究的系统审查.
- 包括与经过异动血管PFA或PFA和TTA的离散队列的研究.
- 衡量比例死亡率作为主要结果.
主要成果:
- 审查中包括了17项研究.
- 血管障碍PFA后的比例死亡率从30天后的2.1%增加到5年后的42.2%.
- 一项研究表明,与PFA相比,TTA的1年死亡风险更高 (RR 1.51).
结论:
- 近年来,经过血管障碍PFA和TTA的比例死亡率保持稳定.
- 这些发现与2015年12月之前的先前系统审查一致.
- 更新的死亡率数据可以增强截肢水平选择的决策工具.
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