对于骨盆环损伤的手术时间较长与系统性并发症的增加有关
Mihir Patel1, Gerald McGwin, Clay Spitler
1From the Department of Orthopaedic Surgery (M.P., C.S.) and Department of Epidemiology (G.M.), University of Alabama at Birmingham, Birmingham, Alabama.
The journal of trauma and acute care surgery
|February 10, 2025
概括
延迟骨盆环损伤的手术增加了并发症的风险. 迅速的手术干预对于改善患者的治疗结果和降低发病率至关重要.
科学领域:
- 创伤外科 手术 创伤外科
- 整形外科手术 整形外科手术
- 患者研究成果研究结果
背景情况:
- 延迟关节骨折的手术固定与更高的并发症和死亡率有关.
- 有限的研究存在于手术延迟对骨盆环损伤并发症率的影响.
研究的目的:
- 调查手术时间和手术后骨盆环损伤患者的全身并发症率之间的关联.
主要方法:
- 在一级创伤中心对1,056名手术性骨盆环损伤患者 (2015-2022) 的回顾性队列研究.
- 收集的数据包括从入院到手术的时间,人口统计,并发症和全身并发症.
- 使用多变量统计模型来评估手术延迟和并发症率之间的关系.
主要成果:
- 在48小时内进行手术的患者的整体并发症率明显较低 (17.8%),相比于在48小时后 (34.9%) 进行手术的患者.
- 手术延迟每小时,任何并发症的几率都会增加0.4%,而败血症,深静脉血栓,急性损伤,心肌梗塞和肺炎的具体增加.
- 整体并发症的几率在42小时内进行手术时是2.10倍,然后增加.
结论:
- 增加骨盆环损伤手术的时间与系统性并发症的风险更高有关.
- 积极的复苏和及时的手术干预对于尽量减少这些患者的发病率和改善这些患者的结果至关重要.
相关概念视频
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
01:25Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...