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在膝盖或关节整形术后的外科手术期间输血和狂妄症:回顾性分析

Saeyeon Kim¹, Tak-Kyu Oh^1,2, In-Ae Song^1,2

¹Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam 13620, Republic of Korea.

Journal of personalized medicine

|June 27, 2024

概括

在膝盖或关节置换手术后,术后输血并没有增加术后狂妄症的风险. 然而,新鲜冷血输血与 Delirium 的更高发病率有关.

科学领域:

整形外科手术整形外科手术
输血医学输血医学
神经临界护理是指神经临界护理.

背景情况:

手术后妄想是经过重大骨科手术后的常见并发症.
术后输血在痴呆症发展中的作用仍然不清楚.

研究的目的:

为了研究不同血液成分输血和术后狂妄症之间的关联,在接受全膝关节整形术 (TKA) 或全关节整形术 (THA) 的患者中.

主要方法:

在2017年至2022年期间接受TKA或THA治疗的6737名成年患者的回顾性研究.
Delirium 在手术后两天内进行评估.
使用多变量逻辑回归分析来确定输血类型和妄想之间的关联.

主要成果:

整体输血与术后狂妄症的增加没有关联 (aOR:1.03,95%CI:0.62,1.71).
输血包装红细胞,血小板和冷沉积物没有显示出与 Delirium 的相关性.
新鲜冷血输血与 Delirium 的更高发病率显著相关 (aOR: 5.96, 95% CI: 2.72, 13.04).

结论:

术后输血通常与TKA/THA患者的术后狂妄症无关.
新鲜冷血输血独立地与术后痴呆症的风险增加有关.

关键词:

血液跨融合血液跨融合在手术后出现妄症.整体关节整形术整体膝关节关节整形手术

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