90天的并发症和再入院率老年患者与关节骨折在不同的时间点从COVID-19阳性:一个数据库研究研究
Joshua G Sanchez1, Will M Jiang, Meera M Dhodapkar
1From the Department of Orthopaedics and Rehabilitation, Yale University, New Haven, CT.
概括
对于老年关节骨折患者来说,在手术后一周内感染COVID-19会增加并发症的风险. 然而,手术前一周以上的诊断显示不增加不良事件的几率,为护理时间提供了保证.
科学领域:
- 整形外科手术 整形外科手术
- 传染性疾病 传染性疾病
- 老年医学 老年医学
背景情况:
- 患有关节骨折的老年患者面临着COVID-19感染的同时风险.
- 与关节骨折手术相比,COVID-19诊断的时间要求对最佳患者护理进行调查.
研究的目的:
- 评估老年关节骨折患者手术前COVID-19诊断时间和90天术后并发症之间的关联.
主要方法:
- 来自PearlDiver M157数据库的老年关节骨折患者的回顾性分析.
- 根据COVID-19诊断到手术的时间 (≤1周,>1-≤4周,>4-≤7周,>7-≤10周,>10-≤13周) 来对患者进行分类.
- 多变量分析评估COVID-19时间对90天并发症率的影响.
主要成果:
- 在263,771名关节骨折患者中,976人在手术13周内患有COVID-19.
- 在手术前1周内诊断COVID-19与较高的轻微不良事件 (OR=1.50),所有不良事件 (OR=1.59),败血症 (OR=1.70) 和肺炎 (OR=2.35) 相关.
- 在手术前1周以上发生的COVID-19诊断中,没有观察到并发症率的显著差异.
结论:
- 在部骨折手术后一周内感染COVID-19增加了90天并发症的可能性.
- 在手术前一周以上的COVID-19诊断与并发症风险增加无关.
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