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剑桥风险评分,新的高血糖,以及没有糖尿病的手术患者的并发症
Hannah Lee1, Phillip J Hartfield1, Abigail Thorgerson2
1Department of Internal Medicine, Froedtert & The Medical College of Wisconsin, Milwaukee, WI, USA.
剑桥风险评分 (CRS) 与新的高血糖 (NH) 和手术并发症有关. 这一分数可能有助于识别高风险患者,以获得更好的外科治疗结果.
科学领域:
- 医学研究 医学研究
- 外科手术的结果
- 代谢并发症 代谢并发症
背景情况:
- 选择性手术患者面临的风险包括新的高血糖症 (NH).
- 剑桥风险评分 (CRS) 是评估手术风险的工具.
- CRS,NH和术后结果之间的关联需要进一步调查.
研究的目的:
- 检查剑桥风险评分 (CRS) 和新高血糖症 (NH) 之间的关联.
- 评估CRS,NH和手术结果 (如并发症和停留时间 (LOS)) 之间的关系.
- 确定CRS是否可以识别NH和手术后并发症高风险的患者.
主要方法:
- 对10531名没有糖尿病的成年外科患者进行了回顾性横截面研究.
- 鉴定新出现高血糖症 (NH;血糖≥140 mg/dL) 的患者.
- 计算CRS和使用单变量回归模型,按外科专业分层.
主要成果:
- 24%的患者患上了NH.
- CRS与并发症 (OR 2.09) 和NH (OR 1.95) 的几率增加有关.
- NH与30天再入院几率 (β 1.60) 和LOS (β 0.64) 的增加相关.
- CRS显示了与LOS和神经外科,骨科和整体外科的并发症的多种关联.
结论:
- 在特定的手术群体中,CRS与NH,并发症和LOS有关.
- CRS显示了识别NH和不良结果风险较高的手术患者的潜力.
- 进一步的研究可能会完善CRS在预测高血糖和选择性手术并发症中的效用.
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