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排名的骨科手术程序与最高的发病率和死亡率.

Brady S Ernst, Nicholas R Kiritsis, Phillip B Wyatt

    Orthopedics
    |September 18, 2024
    PubMed
    概括

    整形外科手术的风险差异很大,膝盖以上截肢的死亡率最高,股骨轴骨折的修复显示了最多的不良事件. 下肢手术和老年人手术的风险增加.

    科学领域:

    • 整形外科手术 整形外科手术
    • 患者安全 患者安全
    • 风险分层是风险的分层.

    背景情况:

    • 肌肉骨疾病影响超过三分之一的美国人口,使骨科手术对管理至关重要.
    • 侵袭性骨科干预具有固有的风险,需要清楚地了解相关的发病率和死亡率.
    • 要开发有效的风险分层工具,需要对整形手术风险进行全球视角.

    研究的目的:

    • 提供与骨科手术相关的风险和并发症的全球概述.
    • 为患者和医疗保健提供者建立一个可访问的风险分层工具.
    • 分析各种整形外科手术程序的发病率和死亡率.

    主要方法:

    • 从美国外科医生学院2018-2020年国家外科质量改进计划数据库中利用了骨科手术的现行程序术语 (CPT) 代码.
    • 评估30天死亡率和任何不良事件 (AAE) 的比率对于每个已识别的CPT代码.
    • 基于病率和AAE率的排名CPT代码用于描述性分析.

    主要成果:

    • 分析了698,549名患者,包括94个CPT代码的病率和144个CPT代码的AAE.
    • 膝盖以上截肢 (CPT代码27590) 显示死亡率最高.
    • 用板和螺丝 (CPT代码27507) 对大腿骨轴骨折的开放治疗显示出AAE的最高率.

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    结论:

    • 这项研究是第一个在所有骨科手术中比较发病率和死亡率的研究.
    • 一个显著的偏差表明与下肢手术相关的风险增加.
    • 在老年人群中经常进行的骨科手术显示出更高的风险概况.