手术前的抑郁症是自主和植入式乳房重建中短期疾病的独立风险因素
1The George Washington University School of Medicine and Health Sciences, Washington, DC, United States.
概括
手术前的抑郁症与乳房重建的结果更差有关. 抑郁症查可以改善患者风险评估和手术后护理,用于自身乳房重建 (ABR) 和基于植入物的乳房重建 (IBR).
科学领域:
- 整形外科 整形外科 整形外科
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 抑郁症在乳房切除术后的患者中很普遍,其中许多人追求乳房重建.
- 关于手术前抑郁症如何影响乳房重建结果的证据有限.
- 这项研究调查了手术前抑郁症与自主乳房重建 (ABR) 和植入式乳房重建 (IBR) 的短期结果之间的关联.
研究的目的:
- 评估手术前抑郁症对ABR和IBR短期结果的影响.
- 在接受乳房重建的患者中识别与抑郁症相关的特定并发症.
- 为了告知术前风险分层和术后护理策略.
主要方法:
- 利用了全国住院患者样本 (2015-2020年第四季度) 的数据,用于接受ABR或IBR的患者.
- 采用多变量逻辑回归分析来比较患有抑郁症和没有抑郁症患者之间的结果.
- 调整以人口因素,纳税人身份,医院特征和并发症为准.
主要成果:
- 手术前的抑郁症与增加的表面伤口并发症,出血/血瘤以及ABR和IBR的更长的住院时间有关.
- 在ABR中,抑郁与更高的感染率和败血症相关.
- 在IBR中,抑郁症与囊收缩和血清瘤的风险增加有关.
结论:
- 术前抑郁症是ABR和IBR之后主要疾病的独立风险因素.
- 对于考虑进行乳房重建的患者,建议对抑郁症进行例行手术前查.
- 这些发现支持加强手术前风险评估和为抑郁患者提供量身定制的术后护理.
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