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在柱骨骨折固定后的患者中,术后感染的危险因素
Nave Cohen1, Cynthia Kyin2, Doron Norman3
1The Ruth and Bruce Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel.
骨架骨折手术后的术后感染与手术前白蛋白水平降低,白细胞数量增加和住院时间延长有关. 老年患者的感染风险降低.
科学领域:
- 整形外科手术 整形外科手术
- 传染病流行病学 传染病流行病学
- 创伤护理 创伤护理
背景情况:
- 支柱骨折由于高能量创伤和感染风险而带来了重大的手术挑战.
- 目前的理解缺乏对影响术后感染的因素在支柱骨折管理中的共识.
研究的目的:
- 识别和分析手术后感染的风险因素,用于手术治疗柱骨骨折的患者.
- 为关键风险指标建立预测值.
主要方法:
- 追溯性队列研究,对416名骨柱骨折患者进行了追溯性队列研究.
- 多变量逻辑回归和ROC曲线分析以确定感染风险因素.
- 评估人口,营养和治疗相关的变量.
主要成果:
- 手术前的白蛋白,手术前的白细胞 (WBC) 计数和住院时间都是术后感染的重要预测因素.
- 确定的值:白蛋白<3.05 mg/dL,白血球>12.65 mg/dL,住院时间>7.1天.
- 老年患者患术后感染的风险较低.
结论:
- 手术前白蛋白较低,手术前白血球较高,以及长时间住院增加了在骨架骨折固定后手术后感染的风险.
- 在这个患者队列中,年龄是预防术后感染的保护因素.
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