关节骨骨折后不良事件的危险因素:开放的减少和内部固定:NSQIP研究
Aadi Sharma1, Isabel Shaffrey2, Charles R Reiter1
1Virginia Commonwealth University School of Medicine, Richmond, VA, USA.
Injury
|September 25, 2024
概括
高龄和吸烟增加了关节骨折手术 (ORIF) 后不良事件的风险. 门诊治疗具有保护性,为手术决策和患者的结果提供了宝贵的见解.
科学领域:
- 整形外科手术 整形外科手术
- 创伤外科 手术 创伤外科
- 患者安全 患者安全
背景情况:
- 中轴关节骨骨折往往需要手术干预 (ORIF) 由于非手术治疗并发症.
- 虽然ORIF提供了更好的结果,但手术部位感染 (SSI) 等风险仍然存在,受患者因素的影响.
研究的目的:
- 为了确定关节骨骨折的ORIF后的风险因素和不良事件的发生率.
- 分析患者的人口统计和与术后并发症相关的并发症.
主要方法:
- 对国家外科质量改进计划 (NSQIP) 数据库 (2012-2021) 的回顾性审查.
- 对6753名接受关节骨骨折隔离ORIF治疗的患者进行分析.
- 多变量回归以确定30天内不良事件 (AAE) 和SSI的独立风险因素.
主要成果:
- 1.9%的患者经历了AAE,SSI在0.77%和伤口脱光在0.12%.
- 当前吸烟状态 (OR=2.036) 和老年患者年龄 (OR=1.025) 是AAE的显著风险因素.
- 门诊手术状态显示有保护作用 (OR=0.528).
结论:
- 高龄和吸烟与关节骨骨折的ORIF后不良事件风险增加有关.
- 门诊ORIF与较低的不良事件发生率有关.
- 这些发现为手术决策和关节骨折管理中的风险评估提供了临床背景.
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