老年患者早期尾切除术后并发症 (EPAC) 的COVID-19特定风险因素:一项回顾性研究
Tamer A A M Habeeb1, A Hussain2,3, Jose Bueno-Lledó4
1Department of General Surgery, Department of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt. tameralnaimy@hotmail.com.
Techniques in coloproctology
|November 5, 2025
概括
早期尾切除术后并发症 (EPAC) 发生在5.5%的老年患者中. 在手术期间活跃的COVID-19感染显著增加了这个人群中EPAC的风险.
科学领域:
- 外科手术 医疗外科手术
- 传染性疾病 传染性疾病
- 老年病的医生 老年病的医生
背景情况:
- 尾炎的发病率和结果在年轻人和老年人之间有所不同.
- COVID-19大流行已与早期尾切除术后并发症 (EPAC) 的增加有关.
- 老年患者 (≥60岁) 在尾炎管理方面面临着独特的挑战.
研究的目的:
- 为了确定经过尾切除的老年患者中EPAC的发生率.
- 在这个人口群体中识别与EPAC相关的风险因素.
- 为了评估手术期间活跃的COVID-19感染作为EPAC的风险因素.
主要方法:
- 对585名年龄≥60岁的患者进行了回顾性多中心分析.
- 在2020年4月至2024年12月间,对尾切除术患者进行了分析.
- 使用后勤回归来确定EPAC的风险因素.
主要成果:
- 总体EPAC发生率为5.5% (32/585).
- 关键并发症包括手术部位感染和腹内.
- 在手术期间活跃的COVID-19感染 (OR=25.9),ASA得分≥II (OR=4.5),开放方法 (OR=30.6),高度尾炎 (OR=63.06) 是显著的危险因素.
结论:
- 在尾切除术后的老年人中,EPAC的发生率为5.5%.
- 在手术期间活跃的COVID-19感染是EPAC的潜在危险因素.
- 对EPAC的经期手术风险评估应纳入COVID-19状态.
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