在接受脊髓切除术的需要透析的患者中出现的术后并发症
Usama Waqar1,2, Rana Muhammad Ahmed Mudabbir3, Meher Angez3
1Medical College, Aga Khan University, Stadium Road, Karachi, Sindh, 74800, Pakistan. usama.waqar@scholar.aku.edu.
Langenbeck's archives of surgery
|August 6, 2024
概括
透析患者在脊髓切除术后面临更高的风险,增加死亡率,并发症和更长的住院时间. 这凸显了这一弱势群体手术结果的显著差异.
科学领域:
- 手术 手术 手术 术 术
- 腎臟病學 (nephrology) 是一種醫學專業.
- 患者的治疗结果.
背景情况:
- 透析患者的脊髓切除术结果还没有很好地定义.
- 透析患者是高风险的外科手术群体.
研究的目的:
- 为了比较透析和非透析患者进行选择性脊髓切除术的术后并发症.
主要方法:
- 使用国家外科质量改进计划数据库进行回顾性队列研究.
- 包括从2005年到2020年接受选择性脊髓切除术的成年患者.
主要成果:
- 在10,339名患者中,1.4%接受慢性透析.
- 透析患者的术后死亡率较高 (9.1%对1.8%),主要发病率,传染性并发症,重手术和长时间住院率增加.
- 透析依赖是死亡率,主要发病率,输血,长时间停留,再手术和救援失败 (FTR) 的重要预测因素.
结论:
- 透析患者在脊髓切除术后面临着明显更高的术后发病率和死亡风险.
- 在脊髓切除术后的透析患者中,失败救援的风险显著增加.
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