在腹腔人口中分类脆弱性

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¹Washington University in St. Louis School of Medicine, 660 S. Euclid Avenue, Campus Box 8109, Saint Louis, MO, 63110, USA. a.e.huggins@wustl.edu.

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概括

在腹修复患者中,虚弱比以前认为的更为常见. 在手术规划中,FRAIL尺度和冷脆弱指数 (FFI) 是可靠的工具,用于进行手术前脆弱性评估.

科学领域:

老年医学老年医学
外科手术的结果
医疗保健服务研究医疗服务研究

背景情况:

虚弱是手术患者不良结果的重要预测因素.
腹腔的修复是一种常见的选择性手术,关于脆弱性患病率的数据有限.
这项研究比较了该患者群体中经过验证的虚弱度指标.

研究的目的:

在接受腹修复的患者中使用经过验证的测量方法来比较虚弱的患病率.
评估不同脆弱性评估工具之间的相关性.
在这个群体中确定可靠的工具,用于手术前的脆弱性查.

主要方法:

预计将招募63名接受腹修复的成年患者.
管理碎的脆弱性指数 (FFI),FRAIL尺度,SARC-F,以及PROMIS的措施.
通过图表审查计算修改的脆弱性指数 (mFI-11) 和查尔斯顿并发症指数 (CCI).

主要成果:

脆弱性患病率因测量而有所不同:mFI-11 (19%),FFI (27%),FRAIL尺度 (23.8%),SARC-F (23.8%).
FFI和FRAIL尺度显示与其他脆弱度指标有很强的相关性 (p < 0.05).
更长时间的Up and Go测试持续时间与脆弱性/sarcopenia查相关 (OR 1.896,p = 0.016).

结论:

在腹腔修复患者中,脆弱性比以前报告的更为普遍.
FFI和FRAIL尺度有很强的相关性,适合进行手术前评估.
外科医生应该利用这些工具来评估脆弱性,进行手术规划和共同决策.

关键词:

脆弱性脆弱性脆弱性微创手术是最少的侵入性手术.腹腔 Hernia 腹腔腹腔

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