在老年骨科患者中,MDT减少了外科手术期间的血栓事件
Tonghua Chen1, Xiaojun Lei1, Jingwei Tian1
1Department of General Practice, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, People's Republic of China.
Journal of multidisciplinary healthcare
|August 14, 2025
概括
多学科团队 (MDT) 方法显著减少了老年骨科手术患者的血栓栓塞事件. 这种模式增强了外科手术期间的抗血栓治疗,改善了患者的治疗结果和安全.
科学领域:
- 老年医学 老年医学
- 心血管外科心血管外科
- 整形外科手术 整形外科手术
背景情况:
- 接受抗血栓治疗的老年患者面临更多的术后风险.
- 急性血栓栓塞事件和不良后果是这一群体的重大担忧.
- 优化抗血栓治疗方案对于手术安全至关重要.
研究的目的:
- 评估多学科团队 (MDT) 咨询模式在管理外科手术期间的抗血栓治疗中的有效性.
- 为了尽量减少骨科手术的老年患者的血栓栓塞事件.
- 通过精确的抗血栓治疗方案制定来改善临床结果.
主要方法:
- 对接受骨科手术的长期抗血栓治疗的老年患者进行单中心回顾性研究.
- 由MDT咨询小组和非MDT小组管理的患者之间的比较.
- 对外科手术期间的血栓和出血相关不良事件的观察和比较.
主要成果:
- 总共有436名患者被分析,其中7.3%的人经历了血栓栓塞事件.
- 与非MDT组 (8.9%,P=0.043) 相比,MDT组的血栓栓塞事件发生率显著降低 (3.3%).
- 抗血栓药物类型和术后ICU转移是危险因素,而MDT咨询显示有保护作用 (OR=0.215,P=0.011).
结论:
- MDT咨询模式有效地改善了外科手术期间的抗血栓治疗管理.
- 这种方法导致骨科手术的老年患者血栓事件的发生率降低.
- 参与MDT是提高患者安全和结果的关键因素.
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