患有转移性癌症的创伤患者接受紧急手术:匹配的队列分析
Matthew Nguyen1, Jeffry Nahmias1, Oliver S Eng2
1University of California, Irvine, Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Orange, CA, USA.
Surgery open science
|January 31, 2025
概括
患有转移性癌症 (MC) 的创伤患者在紧急手术后面临着显著更高的死亡率和退出护理风险. 对于这些高风险患者来说,早期的息护理咨询至关重要.
科学领域:
- 创伤外科 手术 创伤外科
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
背景情况:
- 对于管理活跃转移性癌症 (MC) 患者的创伤外科医生,存在有限的指导.
- 对于接受突发创伤手术的MC患者的结果是不太了解的.
- 这项研究调查了MC创伤患者的死亡率和退休率.
研究的目的:
- 为了比较创伤患者与没有活跃转移性癌症的死亡率和退休率.
- 确定MC患者新出现的手术护理的风险因素和结果.
主要方法:
- 一项追溯匹配队列研究,将39名MC患者与78名非MC患者进行比较.
- 匹配标准包括人口统计,并发症,生命体征和受伤概况.
- 分析的重点是医院内死亡率和在72小时内退出护理.
主要成果:
- 转移性癌症患者在医院死亡率显著增加 (38.5%与15.2%相比).
- 患有MC的患者在72小时内退出护理的风险增加了十倍以上 (12.8%对1.3%).
- 在基线人口统计,损伤严重程度或输血需求方面没有观察到显著差异.
结论:
- 创伤患者的MC接受紧急手术面临死亡和撤回护理的高风险.
- 建议对这种人群进行息治疗咨询和患者咨询.
- 涉及创伤外科医生,瘤学家和息治疗的多学科方法至关重要.
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