在接受长段后腰部仪器仪表治疗的成年人中,教学医院状态和术后结果之间的关联
Janesh Karnati1, Aydin Kaghazchi1, Ahmed Ashraf1
1Department of Neurological Surgery, University of Cincinnati College of Medicine, Cincinnati, OH; Spine Translational and Aging Laboratory, University of Cincinnati College of Medicine, Cincinnati, OH.
概括
与学术中心相比,非学术医院的长段腰椎融合 (LSLF) 的短期手术和医疗并发症率与学术中心相似. 然而,非学术中心的长期失败风险更高,再录取率显著增加.
科学领域:
- 神经外科 神经外科
- 脊柱外科手术 脊柱外科手术
- 医疗保健服务研究 医疗服务研究
背景情况:
- 长段腰椎融合 (LSLF) 是常见的手术,具有显著的并发症风险.
- 由于需求日益增加,了解影响LSLF结果的因素,例如医院教学地位至关重要.
- 关于教学状态和脊柱手术结果的先前研究不一致,需要进一步调查.
研究的目的:
- 评估医院教学状态与长段后腰椎后部手术后的短期和长期结果之间的关联.
- 为了比较学术和非学术中心之间的手术,机械和医疗并发症率.
- 评估再录取率作为与医院教学地位相关的探索性结果.
主要方法:
- 对TriNetX研究网络 (2010-2022) 的回顾性分析.
- 包括接受后腰部仪器仪表治疗的患者,为脊柱狭窄症,脊柱松症或脊柱结缩症进行3-12段的仪器仪表.
- 倾向性得分与患者人口统计和并发症的控制匹配,比较学术与非学术中心.
主要成果:
- 学术和非学术中心之间的30或90天手术或医学并发症率没有显著差异.
- 在非学术中心,在术后的一年和两年发生伪关节炎或机械故障的比率更高.
- 在非学术中心治疗的患者中,30日和90日再入院率显著更高.
结论:
- 非学术中心对LSLF的短期外科和医疗结果相似.
- 非学术中心的患者面临伪关节炎/机械故障的长期风险增加和更高的再入院率.
- 医院教学状态影响LSLF的结果,强调需要在所有环境中加强外科手术期间的护理.
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