整形外科手术后的COVID-19和术后并发症:不仅仅是高凝血能力
Theresa K Webster1, Lauren S Lowe1, Dylan K Kim1
1Division of Plastic and Reconstructive Surgery, Department of Surgery, New York-Presbyterian Hospital/Columbia University Irving Medical Center, New York, NY 10032, USA.
在整形手术患者中,COVID-19诊断没有增加静脉血栓栓塞 (VTE) 风险. 然而,COVID-19显著预测了整体术后并发症的更高率,需要进一步调查.
科学领域:
- 整形外科 整形外科 整形外科
- 血管外科 血管外科
- 传染病流行病学 传染病流行病学
背景情况:
- 静脉血栓栓塞 (VTE) 的风险在整形外科手术中通常很低 (<2%).
- 在COVID-19流行后,关于整形手术中VTE风险的数据仍然有限.
- 这项研究调查了COVID-19感染对整形外科手术中VTE风险的影响.
研究的目的:
- 为了确定COVID-19感染是否会影响整形外科手术中静脉瘤风险.
- 为了比较COVID-19大流行之前和期间的整形外科手术中的VTE率.
- 评估COVID-19诊断和术后并发症之间的关联.
主要方法:
- 利用了2012-2022年国家外科质量改善计划的数据,用于整形手术程序.
- 定义的结果是术后静脉血栓塞 (深静脉血栓/肺栓塞) 和并发症.
- 员工倾向性得分匹配,以比较大流行前与大流行时代以及COVID-19阳性与阴性病例 (2021-2022).
主要成果:
- 分析了269,006例整形外科手术;非乳房无组织移植 (DVT) 和干部手术 (PE) 的VTE率最高.
- 在大流行前和大流行期间,VTE总体发病率没有显著差异 (p=0.40).
- COVID-19诊断没有预测VTE风险 (p=0.48),但显著增加了整体术后并发症 (p<0.001).
结论:
- 在整形手术患者中,COVID-19诊断并不是静脉动脉突发症风险的重要预测因素.
- COVID-19诊断显著增加了整体术后并发症的风险.
- 需要进一步的研究来了解COVID-19对外科手术结果的长期影响.
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