长时间的手术时间对脊柱手术并发症的发生率有显著影响
Annalisa Monetta1, Cristiana Griffoni2, Luigi Falzetti1
1Department of Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Journal of orthopaedic surgery and research
|September 13, 2024
概括
在脊柱手术中延长的手术时间与增加的不良事件密切相关,包括手术内,早期和晚期的术后并发症. 尽量减少手术的持续时间对于患者的安全和更好的结果至关重要.
科学领域:
- 神经外科 神经外科
- 整形外科手术 整形外科手术
- 手术结果研究研究.
背景情况:
- 副作用 (AE) 和外科并发症 (SC) 显著影响脊柱手术中的患者结果.
- 手术时间是各种外科领域并发症的公认风险因素.
- 了解手术持续时间和AE之间的关系对于改善脊柱手术患者安全至关重要.
研究的目的:
- 调查手术时间与脊柱外科手术中不良事件发生的相关性.
- 分析手术持续时间对不同类型的并发症 (手术内,手术后早期和晚期) 的影响.
主要方法:
- 在2017年1月至2018年1月期间,对336名接受脊柱手术 (瘤和退行性) 的患者进行了回顾性分析.
- 使用脊柱不良事件严重程度系统版本2 (SAVES-V2) 分类不良事件.
- 使用双变量分析和单变量逻辑回归来评估手术时间和并发症之间的关联,特别是在退行性病例中.
主要成果:
- 105/336名患者 (31.25%) 经历了与手术相关的副作用.
- 在手术时间和手术内 (p=0.0008),早期术后 (p<0.001) 和晚期术后 (p<0.001) 副作用的风险增加之间发现了显著的相关性.
- 早期术后并发症是记录的最常见的AE类型,特别是在退行性组 (73.2%).
结论:
- 长时间的手术时间是脊柱手术中不良事件的重要风险因素.
- 建议尽量减少手术时间,以提高患者的安全性.
- 将程序效率与技术成功相平衡,对于优化脊柱手术结果至关重要.
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