全髋关节置换术患者住院时间的预测因素:一项横断面研究

Q2 Medicine
Medical Journal of the Islamic Republic of Iran Pub Date : 2023-11-01 eCollection Date: 2023-01-01 DOI:10.47176/mjiri.37.116
Paria Bolourinejad, Mehdi Motififard, Maryam Kazemi Naeini, Mahdie Saffari, Fateme Salehi, Pouya Rajabzade, Amin Lachinani, Amid Yazdani, Mohsen Kheradmand, Amin Nemati
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引用次数: 0

摘要

背景:全髋关节置换术(THA)是治疗终末期髋关节退行性关节炎患者的有效手术。本研究旨在确定影响住院时间(LOS)的围手术期因素,并设计一个公式来预测接受全髋关节置换术患者的住院时间:这项横断面研究于 2019 年 9 月至 2020 年 1 月进行。在这项研究中,所有自 2005 年以来 12 年间接受过 THA 手术的患者都被纳入研究范围。研究收集了患者的住院时间和一些变量的数据,包括人口统计学变量、手术相关变量、输血、入住重症监护室(ICU)、既往用药史、合并症和实验室数据。定性变量以数字(%)表示,定量变量以平均值(Mann± 标准差)表示。此外,还采用了曼-惠特尼检验、Kruskal-Wallis检验和Spearman秩相关检验:研究共纳入 524 名患者,其中 12 名患者被排除在外。261 名患者(51%)为女性,251 名患者(49%)为男性。平均年龄为(56.13±17.04)岁。在单变量分析中,入院日期、手术指征、输血、糖尿病、口服抗糖尿病药物、美国麻醉学会(ASA)评分、术前血红蛋白(Hb)水平和假体类型与 LOS 有显著关系。重要变量进入零截断负二项回归。其中,入院当天、ASA评分、术前血红蛋白水平和假体类型与LOS有显著关系(P < 0.05),并被用于模型设计:结论:术前 Hb 水平、ASA 评分、入院当天和假体类型对 LOS 有影响,可以预测 THA 患者的 LOS。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Predictive Factors for Length of Stay in Patients Undergoing Total Hip Arthroplasty: A Cross-Sectional Study.

Background: Total hip arthroplasty (THA) is an effective surgery for patients with end-stage hip joint degenerative arthritis. This study aimed to determine peri-operative factors that impact the length of stay (LOS) and design a formula to predict LOS in patients undergoing THA.

Methods: This cross-sectional study was performed from September 2019 to January 2020. For this study, all patients who underwent THA over a period of 12 years since 2005 were included in the study. Data about the LOS and several variables including demographic variables, surgery-related variables, transfusion, intensive care unit (ICU) admission, past drug history, comorbidities, and laboratory data, were gathered. Qualitative variables are presented as numbers (%), and quantitative variables are presented as mean Mann± standard deviation. Mann Whitney test , Kruskal-Wallis test, and Spearman's rank correlation test were also used.

Results: A total of 524 patients were included in the study; 12 were excluded .261 (51%) were female and 251(49%) male. The mean age was 56.13±17.04 years. In the univariate analysis, the day of admission, surgery indication, transfusion, diabetes mellitus, oral anti-diabetic drugs, American Society of Anesthesiology (ASA) score, preoperative hemoglobin (Hb) level, and type of prosthesis showed significant relation with LOS. Significant variables entered to zero truncated negative binomial regression. Among them, the day of admission, ASA score, preoperative Hb level, and type of prosthesis showed significant relation with LOS (P < 0.05) and were used for model design.

Conclusion: Preoperative Hb level, ASA score, day of admission, and prosthesis type have an impact on LOS and can predict LOS in patients who are candidates for THA.

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来源期刊
CiteScore
2.40
自引率
0.00%
发文量
90
审稿时长
8 weeks
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