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在经过皮革利切除术的老年患者中,是否值得使用综合并发症指数而不是克拉维恩-丁多分类?

Alexandre Danilovic¹, Gustavo Perrone², Lucas Dias³

¹Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Av. Dr. Eneas de Carvalho Aguiar, 255, 7 and. Sala 7175, São Paulo, SP, 05403-000, Brazil. alexandre.danilovic@hc.fm.usp.br.

World journal of urology

|October 28, 2024

概括

综合性并发症指数 (CCI) 和克拉维恩 - 丁多分类 (CDC) 同样预测了老年患者皮肤穿神经切除术 (PCNL) 后的并发症. 然而,与CCI相比,CDC低估了住院费用.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
外科手术的结果
老年医学老年医学

背景情况:

穿皮骨切除术 (PCNL) 是对结石的一种常见手术.
在接受PCNL的老年患者中评估术后并发症至关重要.
综合性并发症指数 (CCI) 和克拉维恩 - 丁多分类 (CDC) 用于对外科并发症进行分级.

研究的目的:

为了比较CCI和CDC在评估老年患者PCNL后并发症的疗效.
在这个特定的人口群体中确定术后并发症的预测因素.
分析这些指数与住院时间和急诊室入院的相关性.

主要方法:

对60岁及以上接受PCNL (2009-2020) 的患者进行了回顾性队列研究.
在30天内评估术后并发症.
计算了CDC和CCI;逗留时间和急诊室入院作为并发症替代品.

主要成果:

包括244名老年患者 (平均年龄65岁).
15.6%的人经历了术后并发症,其中2.5%的人患有多发症.
无论是CDC还是CCI,都与住院时间和急诊室入院有显著的相关性.
与CCI相比,CDC低估了住院费用 (p=0.049).
更高的ASA身体状况,查尔森并发症指数,Guy的分类和尿路感染史预测了并发症.

结论:

在老年人中,CDC和CCI表明与停留时间和PCNL后ER入院的相似相关性.
与CDC相比,CCI提供了更全面的住院成本评估.
高ASA身体状况,查尔森并发症指数,盖伊分类和先前的尿路感染是该人口并发症的重要预测因素.

关键词:

年长的老人.结石结石是指结石的出现.通过皮肤进行神经质切除术.术后并发症术后并发症乌罗石质病是一种质病.

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