关节骨开放后30天的再入院和再操作的风险因素 缩减内部固定 关节骨开放后的30天再入院和再操作的风险因素
Richelle Fassler1, Nishanth Muthusamy2, Lekha Yaramada2
1Orthopaedic Surgery, Stony Brook University Hospital, Stony Brook, USA.
Cureus
|January 30, 2025
概括
年龄较大,美国麻醉学会 (ASA) 评分较高,吸烟是关键的风险因素,在关节骨开放缩减内部固定 (ORIF) 后,30天的再入院和再手术. 这些发现有助于患者咨询和关节骨骨折的手术规划.
科学领域:
- 整形外科手术 整形外科手术
- 手术结果研究研究.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 关节骨开放缩减内部固定 (ORIF) 是关节骨骨折的一个常见的手术程序.
- 关节骨ORIF后30天再接收和重新操作的风险因素尚未得到充分确立.
- 了解这些风险因素对于改善患者的治疗结果和降低医疗保健成本至关重要.
研究的目的:
- 确定与关节骨后30天再入院相关的独立风险因素ORIF.
- 为了确定关节后30天重新操作的独立风险因素ORIF.
主要方法:
- 使用美国外科医生学院国家外科质量改进计划 (ACS-NSQIP) 数据库 (2015-2020) 的回顾性队列研究.
- 包括接受关节骨ORIF的患者,随后分为再入院和再操作队列.
- 多变量后勤回归分析以确定30天再接收和重新操作的独立风险因素.
主要成果:
- 总共分析了6132名患者,再入院和重新手术率分别为0.85%和1.2%.
- 30天再入院的独立风险因素包括40-64岁,65-74岁和≥75岁,美国麻醉学会 (ASA) 类≥3,吸烟.
- 30天后重新手术的独立风险因素包括40-64岁和65-74岁的年龄,ASA等级≥3,吸烟.
结论:
- 年龄 (再入院≥40岁,再手术≥40-74岁),ASA类≥3,吸烟是关节后30天不良结果的重要独立风险因素.
- 这些发现强调了手术前风险分层和患者咨询的重要性.
- 医生可以使用这些信息来优化患者管理,并可能减轻与关节骨ORIF相关的风险.
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