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在老年患者中椎修复后的发病率和死亡率:一个多中心研究网络的研究研究
Sunjay S Kumar1, Martina Rama2, Scott Koeneman1
1Department of Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, 19107, USA.
Surgical endoscopy
|June 10, 2024
概括
与年轻的老年人相比,八代人面临着与年轻老年人相比,在椎修复后的死亡和并发症风险显著更高. 考虑在80岁之前进行手术,以获得更好的结果.
科学领域:
- 手术成果研究的研究结果.
- 老年人手术是一项老年人手术.
- 医疗服务研究 医疗服务研究
背景情况:
- 间歇性是一个常见的疾病,最初通常非手术治疗.
- 症状的进展经常导致椎间的手术干预.
- 了解与年龄相关的风险对于知情的外科决定至关重要.
研究的目的:
- 为了评估晚年对椎间板修复结果的影响.
- 为了比较八十岁 (80-89岁) 和老年患者 (65-79岁) 的结果.
- 根据临床决策,确定手术修复的时间.
主要方法:
- 利用TrinetX数据库对成年人间椎间的修复病例 (2000-2023年).
- 根据诊断代码将患者分为选择性和突发性修复队伍.
- 采用后勤回归来分析结果,控制共变量.
主要成果:
- 在选择性和突发性修复组中,八代人群的死亡率,营养不良,败血症和呼吸衰竭率更高.
- 八十多岁的选修患者的选择性修复显示了肺炎,DVT的增加率,以及需要输血的需要.
- 死亡率的几率比率在选修 (3.9) 和紧急 (3.5) 修复中显著增加.
结论:
- 八胞胎症患者经历的死亡率和发病率的风险大大增加后间修复.
- 在生命的第八个十年之前,应仔细考虑对椎的手术干预.
- 晚年是缺口手术中不良结果的重要风险因素.
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