在开放式下肢再血管化后,虚弱度评分和手术部位感染的关联
Andrew Edsall1, Andrew J Borgert2, Alec Fitzsimmons2
1Gundersen Health System, La Crosse, Wisconsin, aedsall@gundersenhealth.org.
概括
血管质量倡议风险分析指数 (VQI-RAI) 脆弱性得分没有预测下肢血管手术患者的手术部位感染 (SSI). 然而,较高的体重指数与增加的SSI风险有显著的关联.
科学领域:
- 血管外科 血管外科
- 传染性疾病 传染性疾病
- 老年医学 老年医学
背景情况:
- 手术部位感染 (SSI) 是下肢血管手术后的一个主要并发症.
- 脆弱性评估对于预测这些患者的术后结果至关重要.
研究的目的:
- 评估血管质量倡议风险分析指数 (VQI-RAI) 脆弱性得分与SSI风险之间的关联.
- 在开放的下肢再血管化后,识别与SSI相关的特定脆弱组件.
主要方法:
- 对1130名接受开放下肢再血管化的患者 (2007-2019) 的回顾性审查.
- 计算VQI-RAI得分,并将SSI和没有SSI的患者进行比较.
- 患者被分为脆弱 (VQI-RAI ≥35) 或不脆弱 (VQI-RAI <35) 来比较SSI结果.
主要成果:
- 总体SSI率为8.1%. 这是一个很好的数字.
- 在VQI-RAI得分和SSI之间没有发现显著的关联.
- 身体质量指数是VQI-RAI的单个组成部分,与SSI显著相关 (P < .0001).
结论:
- 在这个患者队列中,VQI-RAI脆弱性得分不是SSI的显著预测指标.
- 体重指数显示的肥胖症是SSI的重要危险因素.
- 通过VQI-RAI测量的脆弱性可能不会独立地增加血管外科手术患者的SSI风险.
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