高海拔是手术后静脉血栓栓塞的独立危险因素,主要是膝关节全关节整形术:一项大型数据库研究
Kevin D Plancher1, Elias N Schwartz2, Carlo M Mannina2
1Department of Orthopaedic Surgery, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York; Department of Orthopaedic Surgery, Weill Cornell Medical College, New York, New York; Plancher Orthopaedics & Sports Medicine, New York, New York; Orthopaedic Foundation, Stamford, Connecticut.
高海拔是膝关节整形术 (TKA) 后静脉血栓栓塞 (VTE) 的独立危险因素. 在1219米以上的海拔处接受TKA的患者有更高的VTE和深静脉血栓症 (DVT) 发病率.
科学领域:
- 整形外科手术 整形外科手术
- 血管医学 血管医学
- 环境健康 环境健康
背景情况:
- 高海拔的生理变化可能会增加静脉血栓塞栓症 (VTE) 风险后全膝关节整形手术 (TKA).
- 在TKA之后,VTE是一种罕见但可能致命的并发症.
研究的目的:
- 调查高海拔是否是TKA后手术后静脉瘤的一个独立风险因素.
- 为了比较TKA患者在高与低海拔外科中心的VTE发病率.
主要方法:
- 对高 (≥1,219米) 和低 (≤30米) 高度TKA患者的大型索赔数据库的回顾性分析.
- 根据年龄,性别,并发症和生活方式因素匹配的队列 (1:3).
- 结果措施包括30日和90天的静脉瘤发病率,深静脉血栓塞 (DVT) 和肺栓塞 (PE),使用二项逻辑回归分析.
主要成果:
- 在30天 (OR 1.15) 和90天 (OR 1.20) 的高海拔与低海拔相比,VTE发生率显著增加.
- 在30天 (OR 1.30) 和90天 (OR 1.36) 的高海拔队列中,DVT发病率显著增加.
- 在30天或90天内,肺栓塞 (PE) 发生率在两组之间没有显著差异.
结论:
- 高海拔 (1,219米以上) 是TKA后VTE的独立风险因素.
- 在高海拔外科中心的TKA患者在术后面面临风险增加的VTE和DVT.
- 在确定VTE预防策略时,外科医生应将高海拔视为风险因素.
更多相关视频
08:50Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
05:39Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
相关概念视频
Venous Return
What is Venous Return?
Venous return refers to the rate at which blood flows back to the heart from the body's peripheral veins. It's an integral part of the circulatory system...
Pre-Procedural Guidelines for Assessing Blood Pressure
Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Endoscopic Studies II: Thoracocentesis
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
