在国家数据库中,修改后的脆弱性5因素指数预测了 Hernia修复后的不良结果
Allison L Diaz1, Wen-Yu Lee2, Cheongeun Oh2
1From the Hansjörg Wyss Department of Plastic Surgery, NYU Grossman School of Medicine, New York, NY.
Plastic and reconstructive surgery. Global open
|January 15, 2025
概括
通过5因素修改的脆弱性指数测量的脆弱性,显著预测了手术后的并发症,再入院和腹修复 (VHR) 后更长的住院时间. 这突显了脆弱性是VHR患者手术风险评估的关键因素.
科学领域:
- 手术 手术 手术 术 术
- 老年病的医生 老年病的医生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 腹腔修复 (VHR) 在患有多种健康问题的患者中很常见,需要准确的手术前风险评估.
- 与年龄等传统风险因素相比,脆弱性越来越被认为是不利结果的优越预测因素.
- 5因素修改的脆弱性指数是评估患者脆弱性的验证措施.
研究的目的:
- 为了调查虚弱和手术后并发症之间的关联VHR.
- 为了比较虚弱与其他风险因素对VHR结果的预测能力.
- 评估脆弱性在预测并发症,停留时间,再入院和VHR后重新手术中的作用.
主要方法:
- 对国家外科质量改进计划 (NSQIP) 数据库 (2015-2020) 的回顾性分析.
- 包括使用组分分离技术进行VHR的患者.
- 多变量回归分析包括脆弱性,年龄,并发症和的特征.
主要成果:
- 脆弱性显著预测了所有原因的并发症,再入院,重新手术和停留时间的延长.
- 年龄较大预测了更长的停留时间和严重的系统并发症.
- 吸烟状态和美国麻醉学会4级与所有结果有关;BMI预测了手术部位并发症和重新手术.
结论:
- 虚弱是使用组件分离技术进行VHR后术后并发症的重要预测因素.
- 将脆弱性评估纳入术前评估可以改善VHR候选人的风险预测.
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