在接受骨科手术的患者中出现术后妄想的危险因素:系统性审查和元分析
Rio Suzuki1, Aina Nakanishi2, Masahiro Masuya3
1Mie University Hospital, Tsu, Mie, Japan.
PloS one
|April 1, 2025
概括
手术后妄 (POD) 在下肢手术后很常见. 这项研究确定了20个风险因素,包括年龄和先前存在的疾病,以帮助预防骨科患者的POD.
科学领域:
- 医学研究 医学研究
- 手术并发症 手术并发症
- 老年医学 老年医学
背景情况:
- 手术后妄 (POD) 经常使手术恢复复杂化,特别是在下肢手术后.
- 识别和减轻POD的风险因素对于改善骨科手术患者的治疗结果至关重要.
研究的目的:
- 系统地审查和分析观察性研究,以确定在接受下肢骨科手术的患者中POD的风险因素.
主要方法:
- 来自CINAHL和MEDLINE的观察性研究的系统审查和元分析.
- 包括的研究分析了与骨科手术患者POD相关的变量.
- 采用随机效应模型来计算聚合赔率比率和置信区间.
主要成果:
- 分析了包括9044名患者在内的27项研究.
- 确定了20个POD的重要风险因素.
- 关键的危险因素包括晚年,认知障碍,手术前实验室值 (例如,白蛋白,CRP,甲状腺激素),长时间的手术/麻醉时间,输血,痴呆和心血管疾病.
结论:
- 术前和术后的数据对于识别患有POD高风险的患者至关重要.
- 针对特定风险因素的有针对性的预防策略可以有效地减少骨科手术后POD的发生率.
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