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假肢安装和主要下肢截肢后的死亡率.

Nathaniel Forrester1, Maja Wichhart Donzo1, Chengcheng Hu2

  • 1Emory University School of Medicine, Atlanta, GA.

Journal of vascular surgery
|May 22, 2024
PubMed
概括

在重大下肢截肢 (LEA) 后安装假肢显著提高了生存率. 这项研究发现,假肢使用与手术后1至3年内死亡的可能性较低有关.

关键词:
截肢是一种截肢.截肢受争议的人.功能状态 功能状态医疗保健 医疗保健 医疗保健 医疗保健死亡率 死亡率 死亡率过程评估过程的评估.这是一个外科手术.

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科学领域:

  • 整形外科 整形外科 整形外科
  • 康复医学 康复医学 康复医学
  • 公共卫生 公共卫生

背景情况:

  • 主要下肢截肢 (LEA) 与高死亡率和低出行率有关.
  • 虽然假肢安装改善了生活质量,但其对LEA后死亡率的影响尚不清楚.
  • 本研究调查了当代LEA队列中假肢安装和死亡率之间的关联.

研究的目的:

  • 为了确定主要下肢截肢 (LEA) 后的假肢安装是否与死亡率降低有关.
  • 分析了接受假肢安装的患者与没有接受假肢安装的患者的生存结果.
  • 评估术前功能状态对术后结果的预测价值.

主要方法:

  • 在2015-2022年期间,对702名接受LEA的患者进行了回顾性队列研究.
  • 暴露:在LEA之后安装假肢.
  • 主要结局:1年和3年死亡率,使用时间依赖暴露的扩展Cox模型进行分析.

主要成果:

  • 46.6%的患者被安装为一个假肢.
  • 假肢安装与1年 (aHR 0.24) 和3年 (aHR 0.40) 的死亡风险显著降低有关.
  • 术前的非行走状态并不排除在显著比例的患者中最终的术后行走.

结论:

  • 假肢安装与LEA后改善的长期存活率密切相关.
  • 手术前的功能状态并不总是表明术后的功能结果.
  • 优化假肢安装和康复途径对于提高LEA患者的生存率至关重要.