活跃或已解决的COVID-19患者中术后并发症的发生率,这些患者正在接受选择性腹壁重建
Fabiola Aguilera1, Grant Wagner2, Madeline Bald3
1From the Division of Plastic Surgery, Department of Surgery, The University of Alabama at Birmingham, Birmingham, Ala.
Plastic and reconstructive surgery. Global open
|November 19, 2024
概括
选择性腹壁重建 (AWR) 患有2019年新冠病毒病 (COVID-19) 的患者与大流行前患者相比,没有经历术后并发症的增加. 然而,COVID-19后组出现了更多的肺部并发症.
科学领域:
- 外科手术的结果
- 传染病流行病学 传染病流行病学
- 患者安全 患者安全
背景情况:
- 接受选择性手术的COVID-19患者的术后并发症尚未得到充分了解.
- 这项研究比较了COVID-19阳性患者的选择性腹壁重建 (AWR) 与大流行前队列的结果.
研究的目的:
- 为了确定COVID-19阳性是否影响选择性AWR后的术后并发症.
- 为了比较COVID-19大流行之前和期间接受AWR的患者之间的并发症率.
主要方法:
- 从2017年1月到2022年9月接受AWR的168名患者的回顾性图表审查.
- 患者分为COVID-19前 (2017-2019) 和COVID-19后 (2020-2022) 的两种阶层.
- 风险匹配分析,包括对并发症的单变量和多变量评估.
主要成果:
- 在COVID-19阳性患者中没有观察到整体术后并发症的显著增加.
- 主要并发症发生率在COVID-19之前为13.3%,在COVID-19之后为7.5%.
- COVID-19患者年轻,住院时间较短.
结论:
- 在选择性AWR中,COVID-19阳性并没有显著增加术后并发症.
- 在流行病后的组中,肺部并发症的增加被注意到.
- 由于该研究的样本规模较小,需要进一步研究.
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