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肝硬化与肩膀全关节整形术后的并发症增加和医疗利用率增加有关
John A Martino1, Alexander S Guareschi2, Brandon L Rogalski1
1Medical University of South Carolina, Charleston, SC, USA.
Shoulder & elbow
|December 20, 2024
概括
经过全肩关节整形手术 (TSA) 的肝硬化患者面临的医疗和手术并发症风险显著增加,住院时间更长,费用增加. 这些发现凸显了对于这个患者群体需要专门的手术前策略的需要.
科学领域:
- 整形外科手术 整形外科手术
- 肝病学 肝病学是一种肝病学.
- 患者研究成果研究结果
背景情况:
- 肝硬化增加了手术风险,包括并发症,长时间住院和费用,特别是在全关节整形术中.
- 有限的研究存在于肝硬化对肩部全关节整形术 (TSA) 后的结果的影响.
研究的目的:
- 为了评估与匹配的对照组相比,接受选择性初级TSA治疗的肝硬化患者的短期术后结果.
主要方法:
- 全国再接收数据库 (2016-2020年) 的回顾性分析确定了接受选择性初级TSA的患者.
- 627名肝硬化患者与没有肝硬化的患者进行了1:1匹配.
- 使用双变量统计分析来比较结果,显著性以 0.003 的波恩费罗尼校正后的α值来定义.
主要成果:
- 肝硬化患者的术后并发症发生率较高,包括急性功能衰竭 (6.3%对1.1%),手术部位感染 (2.0%对0.2%) 和脱位 (2.1%对0.0%).
- 在180天内观察到更高的全因并发症率 (32%对9.2%) 和死亡率 (1.5%对0.0%).
- 肝硬化患者的住院费用 (24,633美元与18,500美元) 和住院时间 (2.6天与1.5天) 增加.
结论:
- 肝硬化与增加的医疗和手术并发症,更高的成本和TSA后更长的停留时间有关.
- 这些结果可以为骨科外科医生制定手术前策略,以减轻经历TSA的肝硬化患者风险.
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