Yarlagadda Mahesh, Shen Michelle, Abraham Abenezer, Mousavi Idine, Sethi Manish K
The Vanderbilt Orthopaedic Institute Center for Health Policy, Nashville, Tennessee.
The Vanderbilt Orthopaedic Institute Center for Health Policy, Nashville, Tennessee; e-mail:
J Surg Orthop Adv. 2018 Fall;27(3):198-202.
The purpose of this study was to identify those complications for which patients with adverse cardiac events are at risk within the 30-day postoperative period following treatment oforthopaedic trauma cases. This was a retrospective cohort study of orthopaedic trauma patients in the United States between 2006 and 2013. A total of 56,336 patients meeting any one of 89 CPT codes in the American College of Surgeons National Surgical Quality Improvement Program database were used. The main outcome measure was myocardial infarction or cardiac arrest within the 30-day postoperative period. Patients experiencing adverse cardiac events were at a significantly higher risk to have also developed deep surgical site infection, pneumonia, the need for reintubation, pulmonary emboli, a failure to wean off of ventilation, chronic and acute renal failure, urinary tract infection, stroke, deep venous thrombosis, sepsis, and shock. Cardiac complications in orthopaedic trauma patients are relatively uncommon (1.3%); however, cardiac complications are associated with greater risks of other complications, including pneumonia, stroke, and urinary tract infection. (Journal of Surgical Orthopaedic Advances 27(3):198-202, 2018).
本研究的目的是确定在骨科创伤病例治疗后的30天术后期间，发生不良心脏事件的患者可能面临的并发症。这是一项对2006年至2013年间美国骨科创伤患者的回顾性队列研究。使用了美国外科医师学会国家外科质量改进计划数据库中符合89个现行程序编码（CPT）中任何一个的56336名患者。主要结局指标是术后30天内发生心肌梗死或心脏骤停。发生不良心脏事件的患者发生深部手术部位感染、肺炎、再次插管需求、肺栓塞、脱机失败、慢性和急性肾衰竭、尿路感染、中风、深静脉血栓形成、败血症和休克的风险显著更高。骨科创伤患者的心脏并发症相对少见（1.3%）；然而，心脏并发症与其他并发症的更高风险相关，包括肺炎、中风和尿路感染。（《外科骨科进展杂志》27(3):198 - 202, 2018）
