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肋骨骨折的手术稳定时间:是否会影响结果?

Joseph D Forrester¹, Babak Sarani², Maximilian Peter Forssten^3,4

¹Stanford University, Stanford, California, USA.

Trauma surgery & acute care open

|July 15, 2024

概括

肋骨骨折的早期手术稳定 (SSRF) 减少了孤立肋骨骨折患者的并发症和住院时间. 及时的SSRF与显著减少住院并发症和更短的住院时间有关.

科学领域:

创伤外科手术创伤外科
胸部外科手术胸部外科手术
关键护理医学关键护理医学

背景情况:

肋骨骨折是常见的伤害,具有显著的发病率和死亡率.
早期干预可以减轻与肋骨骨折相关的下游并发症.
肋骨骨折的手术稳定 (SSRF) 是管理这些损伤的治疗选择.

研究的目的:

调查SSRF时间和医院内并发症发生之间的关联.
评估SSRF时间对住院和重症监护室 (ICU) 停留时间 (LOS) 的影响.

主要方法:

对2016-2019年美国外科医生学院创伤质量改善计划 (TQIP) 数据库的分析.
包括患有孤立胸部损伤的成人患者 (>18岁) 接受SSRF.
根据SSRF的时间,将患者分为三个组:≤2天,>2至<3天和>3天.
使用Poisson和定量回归来评估与并发症和LOS的关联,调整共变量.

主要成果:

接受SSRF>3天的患者与SSRF ≤2天的患者相比,复合性住院并发症的风险增加了三倍.
延迟SSRF (>3天) 与医院LOS增加4天和ICU LOS增加近2天有关.
血胸病在延迟SSRF组中更频繁;其他人口统计和临床变量在不同组中相似.

结论:

较早的SSRF (≤2天) 与减少住院并发症和更短的住院时间有关.
应考虑迅速手术稳定肋骨骨折,以改善创伤质量.
标准化SSRF的时间可能会改善创伤护理中的患者结果.

关键词:

结果评估,医疗保健胸部外科手术程序胸部外科手术程序时间到治疗时间.肋骨骨折肋骨骨折肋骨骨折肋骨骨折肋骨骨折

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