大型下肢截肢后的死亡率和与指数水平的关联:基于来自丹麦全国数据库的11,205例首次截肢的队列研究
Anna Trier Heiberg Brix1, Katrine Hass Rubin2, Tine Nymark3
1Department of Orthopedic Surgery and Traumatology, Odense University Hospital, Odense; Department of Clinical Research, University of Southern Denmark, Odense. anna.trier.heiberg.brix@rsyd.dk.
Acta orthopaedica
|June 19, 2024
概括
大型下肢截肢后的死亡率仍然很高,在2021年,跨腿截肢的1年率为20%,腿截肢的1年率为46%. 这凸显了对这些脆弱患者进行增强的术前,术后和术后护理的迫切需要.
科学领域:
- 整形外科手术 整形外科手术
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 主要的下肢截肢带有很高的死亡风险.
- 截肢水平可能会影响患者的结果.
- 了解死亡率趋势对于患者护理至关重要.
研究的目的:
- 为了调查1年死亡风险后主要的下肢截肢.
- 为了比较穿腿截肢和穿腿截肢之间的死亡率.
- 分析12年的死亡率趋势.
主要方法:
- 使用丹麦全国卫生登记册进行的观察队列研究.
- 包括11,205例首次重大下肢截肢的情况 (2010-2021年).
- 数据的分层划分为跨腿 (3,921) 和转腿 (7,284) 截肢组.
主要成果:
- 整体1年死亡率为29%的跨腿截肢和48%的腿截肢.
- 在研究期间,观察到30天和1年死亡率的显著下降.
- 在2021年,1年死亡率为跨肢截肢的20%和转肢截肢的46%.
结论:
- 大型下肢截肢后的死亡率有所下降,但仍然很高.
- 跨骨和骨截肢是高风险的手术.
- 这些发现强调了需要加强手术前,手术期间和手术后的管理策略.
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