评估在接受泌尿外科手术的患者手术前并发症和静脉血栓栓塞的风险之间的联系
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Updated: May 23, 2025

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Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
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Konstantinos Douroumis1, Konstantinos Kotrotsios1, Napoleon Moulavasilis1
1First Department of Urology, National and Kapodistrian University of Athens, Athens, GRC.
Cureus
|March 11, 2025
概括
同病性评估工具和静脉血栓栓塞 (VTE) 风险模型在泌尿外科手术患者中显示出强烈一致. 像EAU和AUA RAM这样的更简单的模型有效地预测VTE风险,提供可靠的替代方案.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 老年人手术是一门老年手术.
- 血栓栓塞瘤研究研究
背景情况:
- 老年手术患者面临静脉血栓栓塞 (VTE) 和出血的风险增加.
- 可靠的VTE风险预测工具对于在脆弱人群中平衡这些风险至关重要.
- 老年人中泌尿器科手术很常见,需要特定的风险评估策略.
研究的目的:
- 评估已建立的并发症评估工具和VTE风险评估模型 (RAMs) 之间的相关性.
- 确定这些工具在接受泌尿外科手术的患者中的有用性.
- 确定最有效的工具来预测VTE风险在这个人口.
主要方法:
- 在20个月内从136名泌尿器科住院患者收集前性数据.
- 使用年龄调整的查尔森并发症指数 (AA-CCI),CIRS,ASA得分和ICED进行并发症评估.
- 使用欧洲泌尿病学协会 (EAU) 的RAM,美国泌尿病学协会 (AUA) 的RAM和卡普里尼评分进行静脉瘤风险评估.
主要成果:
- 在所有并发症评分和VTE RAMs之间发现了统计学上显著的积极关系.
- 较高的并发症分数始终与较高的VTE风险类别相对应.
- 累积疾病评级表 (CIRS) 在EAU RAM风险组之间没有显著的偏差 (p=0.111).
结论:
- 在泌尿外科手术患者中,并发症评分和VTE RAMs具有很高的一致性.
- 欧洲泌尿病学会 (EAU) 和美国泌尿病学会 (AUA) 的RAM尽管简单,但有效.
- 这些简单的RAM可靠地结合了患者的健康状况,作为更复杂的卡普里尼分数的可行替代品.
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