外科全关节整形术后术后并发症的发生频率和时间
Scott M LaValva1,2, Patawut Bovonratwet1,2, Aaron Z Chen1
1Adult Reconstruction and Joint Replacement Service, Hospital for Special Surgery, New York, NY, USA.
Arthroplasty today
|July 5, 2024
概括
门诊全关节整形手术 (THA) 后并发症的时间与住院手术的时间相似. 早期检测对于在同一天出院后的罕见,严重的不良事件至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 患者研究成果研究结果
- 医疗保健服务研究 医疗服务研究
背景情况:
- 有限的数据存在于门诊全关节整形术 (THA) 后并发症的时间.
- 了解并发症时间表对于优化出院后的护理和患者安全至关重要.
- 之前的研究集中在风险因素上,而不是不良事件的时间方面.
研究的目的:
- 确定门诊THA后各种并发症的中位数术后诊断日.
- 为了比较门诊和住院THA之间的30天并发症的风险和时间.
- 为临床实践提供有关THA后并发症的监测和早期检测的信息.
主要方法:
- 利用了2012-2019年国家外科质量改善计划数据库,用于门诊和住院初级THA患者.
- 计算了9种不同的30天并发症诊断的中位数术后一天.
- 采用多变量回归和Cox比例危险建模来分析并发症风险和时间差异.
主要成果:
- 门诊THA并发症的中位数诊断日包括再入院 (12.5天),手术部位感染 (15天) 和肺炎 (6.5天).
- 与住院患者相比,门诊患者的再入院,手术部位感染和肺炎的相对风险较低.
- 在门诊和住院THA组之间,在特定并发症的时间上没有发现统计学上显著的差异.
结论:
- 门诊THA后并发症的时间概况与住院手术相似.
- 建议在确定的危险期内降低门诊THA诊断测试门.
- 警早期发生的严重不良事件至关重要,特别是在同一天出院后.
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