在糖尿病患者的下肢旁路手术后,身高对短期不良结果的影响
Kushkaran Kaur1, Rhonda S Cornell2, Lawrence Oresanya3
1*Temple University Hospital Podiatric Surgical Residency Program, Philadelphia, PA.
Journal of the American Podiatric Medical Association
|September 6, 2024
概括
患者的身高没有显著影响糖尿病患者在开放下肢旁路手术后的短期不良结果. 这项研究发现感染,败血症,再手术或再入院的高度无差异.
科学领域:
- 血管外科 血管外科
- 糖尿病并发症 糖尿病并发症
- 外科手术的结果
背景情况:
- 开放的下肢旁路手术是糖尿病患者的关键干预措施.
- 评估影响短期不良结果的因素对于优化外科护理至关重要.
- 患者身高尚未被广泛研究为潜在的危险因素.
研究的目的:
- 评估患者身高与下肢开放式旁路手术后短期不良结果之间的关联.
- 在接受这种手术的糖尿病患者中,比较不同身高类别的结果.
主要方法:
- 美国外科医生学院国家外科质量改进计划数据库的分析.
- 包括具有特定 Current Procedural Terminology 代码的患者,用于绕道手术和糖尿病诊断.
- 将患者分为三个身高类别:≤60英寸,60-72英寸和>72英寸.
主要成果:
- 在身高组之间,在表面的手术部位感染,深度切口感染,败血症,计划外的重新手术或计划外的医院再入院方面没有发现显著差异.
- 在伤口破坏率 (P = .001) 中注意到了显著的差异,但多变量分析表明种族和体重,而不是身高,与这一结果独立相关.
- 多变量回归分析证实,患者身高与伤口破坏没有独立关联 (P = .701).
结论:
- 患者身高似乎不是糖尿病患者在开放下肢旁路手术后短期不良结果的重要独立预测因素.
- 这些发现表明,专注于其他已确定的风险因素,如种族和体重,可能更适合预测伤口破坏.
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