在的部脊柱创伤后脊椎动脉损伤是偶然发现吗?
Romil Shah1, Ayane Rossano1, Devender Singh2
1Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin.
Clinical spine surgery
|November 28, 2024
概括
在的宫创伤患者中,脊椎动脉损伤 (VAI) 显著增加了不良事件的风险,包括中风和心肌梗塞. 这种伤害还导致更长的住院和ICU停留时间,突出其严重程度.
科学领域:
- 创伤外科手术是什么
- 这是血管外科手术.
- 紧急医疗 紧急医疗
背景情况:
- 关于脊椎动脉损伤 (VAI) 对的宫创伤中不良事件的影响的数据有限.
- 之前的研究使用了小队列,阻碍了最终的结论.
研究的目的:
- 为了调查VAI与部脊椎创伤患者的不良事件之间的关联.
- 确定VAI对临床结果的影响,包括停留时间和计划外干预.
主要方法:
- 使用国家创伤数据库 (2016-2017) 进行回顾性队列研究.
- 包括患有宫创伤的成年患者;收集了人口统计,受伤和VAI数据.
- 使用多变量回归来评估VAI对不良事件和停留时间的风险调整影响.
主要成果:
- 超过128,000名患者进行了审查; 5300人患有VAI.
- 在VAI患者中,心肌梗塞 (MI),深静脉血栓/肺栓塞 (DVT/PE),中风和神经损伤的发生率显著增加.
- VAI与长时间住院/ICU (LOS) 和不良事件 (P<0.001) 的风险增加了2倍以上.
结论:
- 脊椎动脉损伤在的宫创伤中比以前报告的更为常见.
- VAI表明了更严重的损伤机制,并与增加的不良事件和LOS有关.
- 在老年患者中,VAI与不良结果有关,无论损伤机制如何.
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