股骨颈骨折半髋关节置换术和全髋关节置换术后的主要并发症及输血率
Major Complications and Transfusion Rates After Hemiarthroplasty and Total Hip Arthroplasty for Femoral Neck Fractures.
作者信息
Liodakis Emmanouil, Antoniou John, Zukor David J, Huk Olga L, Epure Laura M, Bergeron Stephane G
机构信息
Department of Orthopaedic Surgery, Jewish General Hospital, McGill University, Montreal, Canada.
出版信息
J Arthroplasty. 2016 Sep;31(9):2008-12. doi: 10.1016/j.arth.2016.02.019. Epub 2016 Feb 17.
BACKGROUND
Postoperative complications and perioperative transfusions are common after hemiarthroplasty or total hip arthroplasty (THA) and can lead to increased morbidity and mortality.
METHODS
The National Surgical Quality Improvement Program Database was queried to compare 30-day major complications and perioperative transfusions after femoral neck fractures.
RESULTS
A total of 4058 patients were included in the study: 3192 were treated with hemiarthroplasty and 866 with THA. Multivariable logistic regression analysis revealed that having a THA was not an independent risk factor for major complications (odds ratio = 0.8, P = .18) but was an independent risk factor for requiring transfusions (odds ratio = 1.68, P < .001).
CONCLUSION
The risk of major complications is influenced by patient factors rather than the choice of procedure. However, THA was a risk factor for transfusions after controlling for all other variables.
背景
半髋关节置换术或全髋关节置换术（THA）后，术后并发症和围手术期输血很常见，可导致发病率和死亡率增加。
方法
查询国家外科质量改进计划数据库，以比较股骨颈骨折后的30天主要并发症和围手术期输血情况。
结果
该研究共纳入4058例患者：3192例行半髋关节置换术，866例行全髋关节置换术。多变量逻辑回归分析显示，接受全髋关节置换术并非主要并发症的独立危险因素（比值比 = 0.8，P = 0.18），但却是需要输血的独立危险因素（比值比 = 1.68，P < 0.001）。
结论
主要并发症的风险受患者因素影响，而非手术方式的选择。然而，在控制所有其他变量后，全髋关节置换术是输血的危险因素。
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