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inguinal和ventral修复结果与先前存在的并发症集群之间的相关性:ACS-NSQIP研究

Wendy Wang¹, Javairia Haq², Em Long-Mills³

¹Brody School of Medicine at East Carolina University, 600 Moye Boulevard, Greenville, NC, 27858, USA. wangw23@students.ecu.edu.

Hernia : the journal of hernias and abdominal wall surgery

|November 24, 2025

概括

识别并发症集群对于预测修复患者的手术结果至关重要. 特定的患者个人资料,如出血障碍或充血性心力衰竭患者,面临明显更高的并发症和死亡风险.

科学领域:

一般外科整体外科
手术结果研究研究.
患者风险分层患者风险分层

背景情况:

已经存在的并发症显著影响手术结果.
目前的风险分层方法往往未充分利用联合并发症数据.
了解并发症模式是改善手术结果的关键.

研究的目的:

为了识别不同的共同疾病集群.
确定这些并发症集群与 inguinal 或 ventral 修复后的不良外科结果之间的关联.

主要方法:

使用ACS-NSQIP数据库 (2016-2023) 的回顾性队列研究.
已确定的成年患者正在接受选择性 inguinal 或 ventral 的修复.
使用隐性类分析 (LCA) 来定义并发症子组.

主要成果:

确定了六种并发症概况:没有并发症,吸烟,出血障碍/充血性心力衰竭 (CHF),糖尿病/吸烟的肥胖,没有糖尿病/吸烟的肥胖和高血压.
除了没有糖尿病/吸烟的肥胖症之外,所有确定的群体都显示,与没有并发症的患者相比,术后并发症的风险增加.
"出血乱或CHF"和高血压集群显示,30天死亡率显著增加.

结论:

特定的并发症集群可预测并发症,长时间住院和修复后的死亡率.
将这些并发症概况整合到手术前风险评估中,可以提高手术决策.
针对高风险患者群体的有针对性的干预措施可能会改善外科手术结果.

关键词:

共同发病概况共同发病概况 Hernia 修复 Hernia 修复的方法术后并发症术后并发症风险分层是指风险的分层.

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