在老年创伤患者中REBOA的使用和并发症:来自多中心数据库的见解
Parvathy Balamurugan1, Pavan Guduri1, John P Hunt2
1Department of Surgery, Louisiana State University School of Medicine, New Orleans, Louisiana.
The Journal of surgical research
|April 26, 2025
概括
经过复苏性内血管气球阻塞大动脉 (REBOA) 的老年创伤患者的肢体缺血率较低. 这项研究表明,REBOA在老年人中是安全的,肢体并发症较少.
科学领域:
- 创伤外科 手术 创伤外科
- 血管外科 血管外科
- 老年医学 老年医学
背景情况:
- 主动脉内血管气球阻塞复苏 (REBOA) 是创伤患者的一种紧急程序.
- 关于REBOA在老年人群中的使用和结果的数据有限.
- 在老年人中,先前存在的并发症可能会增加并发症率.
研究的目的:
- 为了评估与年轻成年人相比,老年创伤患者 (≥65岁) 的REBOA利用和相关并发症.
- 为了测试老年患者经历更高的并发症率的假设.
主要方法:
- 美国创伤外科手术协会的分析 创伤和急性护理外科注册中复苏的动脉封闭.
- 成年创伤患者的分层分为老年 (≥65岁) 和年轻 (18-64岁) 队列.
- 人口统计数据,损伤严重程度,REBOA放置,闭塞时间和并发症率 (急性损伤,接入部位问题,四肢缺血) 的比较.
主要成果:
- 在受伤严重程度评分 (ISS),REBOA区域放置或闭塞持续时间之间没有显著差异.
- 老年患者 (21.7%) 和年轻患者 (22.1%) 的急性损伤率相似.
- 与年轻患者 (3.7%) 相比,老年患者 (0%) 的肢体缺血率明显较低.
结论:
- 接受REBOA治疗的老年患者的肢体缺血发病率显著降低.
- 这一发现可能归因于老年人群中潜在的并发症.
- 进一步的前性研究是有必要的,以探索这一观察.
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