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JAMA Surg:急诊手术患者静脉血栓栓塞风险增加

2020-05-11 MedSci原创 MedSci原创

与择期手术相比,急诊患者的静脉血栓栓塞风险增加,特别是对于高侵入性手术患者

创伤患者静脉血栓栓塞(VTE)的风险增加,炎症在其中发挥重要作用,近日研究人员考察了接受急诊普外科手术(EGS)患者的VTE风险。
 
研究收集2005-16年间,接受胆囊切除术、腹疝修补术(VHRs)以及部分结肠切除术(PCs)患者数据,比较择期手术及急诊手术患者30天时的VTE风险差异。
 
12年来共有604537名成人接受外科手术,患者平均年龄55.3,61.4%为女性,其中胆囊切除285847例,VHRs158500例,PC160190例。30天内VTE发生率EGS为1.9%,择期手术为0.8%,差异有统计学意义。总体上,4607例(0.8%)有深静脉血栓形成,2648例(0.4%)有肺栓塞。队列中共发生6624例VTEs(1.1%)。正如预期的那样,当按手术类型检查VTE风险时,风险随着侵入性增加而增加(胆囊切除术为0.5%,VHR为0.8%,PC为2.4%;P<0.001)。在多变量分析中,EGS与VTE独立相关(比值比[OR],1.70)。与VTE相关的还有开放手术(OR:3.38)和PC(OR:1.86)。
 
研究认为,与择期手术相比,急诊患者的静脉血栓栓塞风险增加,特别是对于高侵入性手术患者。
 
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    2021-03-26 fusion
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    2020-05-11 旺医

    顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息

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