[接受胃肠道手术的老年患者整体术后并发症的危险因素:多中心观察研究]
Xuecai Lü1,2,3, Yanhong Liu1,2,3, Shiyi Han1,2
1Department of Anesthesiology, First Medical Center, Beijing 100853, China.
概括
接受胃肠道手术的老年患者面临严重的并发症风险. 晚年,营养不良,失血和急性术后疼痛是关键的危险因素,疼痛与多系统问题有关.
科学领域:
- 老年人手术是一门老年手术.
- 手术结果研究研究.
- 患者安全 患者安全
背景情况:
- 手术后的并发症对接受胃肠道手术的老年患者构成重大威胁.
- 识别可修改和不可修改的风险因素对于改善患者的治疗结果至关重要.
研究的目的:
- 调查接受选择性胃肠道手术的老年患者与整体术后并发症相关的独立风险因素.
- 探索急性术后疼痛与特定类型的并发症之间的关系.
主要方法:
- 一项多中心研究涉及1388名接受选择性胃肠道手术的老年患者.
- 多变量逻辑回归分析以确定30天内术后并发症的独立风险因素.
- 在有并发症和没有并发症的患者之间比较基线特征,术前状态,术后因素和术后管理.
主要成果:
- 手术后并发症的总体发生率为50.8%.
- 确定的独立风险因素包括晚年,预后营养指数低,手术前EuroQol-5维度得分差,手术内流血增加,以及急性术后疼痛.
- 严重的术后疼痛与较高的神经精神病,手术相关和心血管并发症率有显著的关联.
结论:
- 高龄,营养状况不佳,生活质量下降,大量流血和急性术后疼痛是经过胃肠道手术的老年患者术后并发症的重要独立风险因素.
- 急性术后疼痛与多系统并发症密切相关,这凸显了有效疼痛管理的重要性.
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