协同作用因子:创伤和癌症
Hunter D Alexander1, Sai Krishna Bhogadi1, Omar Hejazi1
1Division of Trauma, Critical Care, Burns, and Emergency Surgery, Department of Surgery, College of Medicine, University of Arizona, Tucson, Arizona.
The Journal of surgical research
|August 17, 2024
概括
患有癌症的创伤患者面临着明显更高的深静脉血栓形成和死亡风险. 针对性护理途径对于改善这一弱势群体的结果至关重要.
科学领域:
- 创伤外科 手术 创伤外科
- 在瘤学瘤学.
- 临床结果研究研究
背景情况:
- 创伤和癌症是美国的主要死亡原因.
- 关于癌症对创伤患者结局的影响的数据有限.
- 这项研究解决了有关癌症对创伤患者结果影响的知识差距.
研究的目的:
- 为了确定癌症对成年创伤患者的结果的影响.
- 为了比较创伤患者与没有癌症之间的并发症和死亡率.
- 在创伤患者中确定与癌症相关的特定风险.
主要方法:
- 美国外科医生学院创伤质量改善计划 (2019-2021) 的回顾性分析.
- 包括成人创伤患者 (≥18岁),不包括严重头部伤害和非黑色素瘤性皮肤癌.
- 倾向性得分匹配 (1:3) 来比较癌症 (C) 和没有癌症 (No-C) 组,分析并发症和死亡率.
主要成果:
- 分析了3236名患者的匹配队列 (809名癌症患者,2427名没有癌症患者).
- 癌症患者的深静脉血栓形成率较高 (1.1%与0.3%,P=0.004).
- 癌症患者的死亡率明显较高 (7.5%与2.7%,P<0.001),但整体并发症率相似.
结论:
- 患有癌症的创伤患者患深静脉血栓的几率几乎高出四倍.
- 癌症患者在创伤后的死亡率高出三倍.
- 为经历创伤的癌症患者开发专门的护理途径对于改善结果至关重要.
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