腹腔外科手术后患者的整体关节整形:增加风险和经济负担?
Yaron Berkovich1,2, Lahav Rosenberg3, Linor Fournier1,2
1Orthopedic Department, Carmel Medical Center, Haifa 3436212, Israel.
Healthcare (Basel, Switzerland)
|April 26, 2025
概括
之前接受过减肥手术的患者的关节整形术 (THA) 正在增加. 这些患者虽然年轻,女性,但尽管住院时间较短,但并发症率较高,需要优化护理.
科学领域:
- 整形外科手术 整形外科手术
- 腹部外科手术的结果
- 医疗保健服务研究 医疗服务研究
背景情况:
- 全关节整形术 (THA) 改善了关节疾病患者的生活质量.
- 肥胖率的上升增加了THA在腹部外科手术后的个人需求.
- 这项研究分析了先前有或没有减肥手术的患者的THA趋势.
研究的目的:
- 为了研究患有空腹性手术史的患者中THA的趋势.
- 为了比较人口统计,住院指标和术后结果.
- 识别特定风险,并为术后护理策略提供信息.
主要方法:
- 对1496,809名THA患者的NIS数据库 (2016-2019) 的分析.
- 包括20429名THA患者,他们有腹手术史.
- 倾向性得分匹配以创建可比的队列进行分析.
主要成果:
- 腹腔外科手术后患者的THA显著增加 (2016-2019).
- 这些患者年轻,主要是女性,住院时间较短,但费用较高.
- 对部脱,手术部位感染,肺炎和手术内骨折观察到更高的风险.
结论:
- 腹腔外科手术后患者的THA的增加需要优化外科期间的管理.
- 尽管停留时间较短,但并发症风险增加需要量身定制的患者护理.
- 建议对体重管理策略进行进一步的研究,以提高外科手术的结果.
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