关节置换的隐藏风险:揭示160万患者的死亡率和成本
Yaron Berkovich1,2, Binyamin Finkel3, Assil Mahamid3
1Carmel Medical Center, Haifa 3436212, Israel.
Healthcare (Basel, Switzerland)
|October 16, 2025
概括
选择性关节整形术 (THA) 的住院患者死亡率低 (0.04%),但老年患者,周末入院和手术延迟增加了风险. 副作用显著影响了医院住院费用和住院时间.
科学领域:
- 整形外科手术 整形外科手术
- 卫生经济学 卫生经济学
- 患者安全 患者安全
背景情况:
- 选择性初级关节整形手术 (THA) 是一种常见的手术.
- 了解术前风险因素和术后结果对于患者护理和资源配置至关重要.
研究的目的:
- 评估在选择性初级THA后的住院患者死亡率和经济影响.
- 建立疫情前的全国基线,用于不良事件和相关成本.
主要方法:
- 国家住院患者样本 (2016-2019) 的分析,包括327,123例选择性初级THA病例.
- 评估住院患者死亡率和与并发症相关的经济因素.
主要成果:
- 整体住院患者死亡率为0.04%,年龄≥80岁,周末入院和手术延迟的患者的死亡率更高.
- 充血性心力衰竭和慢性病与增加的死亡率有关.
- 住院并发症显著增加了资源使用,成本和住院时间.
结论:
- 疫情前的数据为选择性THA结果提供了基线.
- 识别高风险子组和不良事件的经济影响支持有针对性的外科手术期间的战略.
- 这些发现有助于医院规划可选的THA程序.
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