5项修正虚弱指数能否预测逆行肾内手术后的不良结局?RIRSearch小组的一项病例对照研究。

IF 1.1 4区 医学 Q3 SURGERY
Cem Başataç, Muhammed Fatih Şimşekoğlu, Kerem Teke, Mustafa Bilal Tuna, Önder Çınar, Hacı Murat Akgül, Oktay Özman, Hakan Çakır, Duygu Sıddıkoğlu, Cenk Murat Yazıcı, Eyüp Burak Sancak, Bülent Önal, Haluk Akpınar
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引用次数: 0

摘要

目的:我们的目的是评估严重虚弱的患者在逆行肾内手术后是否会增加并发症的风险和更差的手术结果。方法:回顾性分析340例连续行逆行肾内手术治疗上尿路结石患者的资料。采用改良的5项衰弱指数(mFI-5)评价衰弱状态。采用mFI-5评分的临界值为2分,将患者分为两组:mFI-5评分患者。结果:经混杂因素匹配后,1组255例,2组85例。两组的基线特征相似。两组间中位手术时间和住院时间差异无统计学意义。术中并发症发生率组间比较差异无统计学意义(分别为7.6%和9.4%;P = 0.47),术后并发症发生率分别为13.8%和11.8%;P = .71),无结石率分别为70.9%和72.9%;P = .73)。结论:逆行肾内手术是治疗严重体弱患者上尿路结石有效可行的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Does the 5-Item Modified Frailty Index Predict Adverse Outcomes after Retrograde Intrarenal Surgery? A Case-Control Study by the RIRSearch Group.

Objectives: We aim to assess whether severely frail patients have an increased risk of complications and worse surgical outcomes after retrograde intrarenal surgery. Methods: The data of 340 consecutive patients undergoing retrograde intrarenal surgery to treat upper tract urinary stones were analyzed retrospectively. The 5-item modified frailty index (mFI-5) was used to assess the frailty status. Using a cutoff value of score 2 in the mFI-5 score, patients were divided into two groups: patients with an mFI-5 score <2 were assigned to a non-frail (Group 1) group, and patients with an mFI-5 score ≥2 were assigned to a frail (Group 2) group. The patients' demographics, stone characteristics, operative outcomes, and complication rates were compared between the groups. The primary objective was to examine whether the surgical outcomes were much better in non-frail patients. Results: After matching confounding factors, Group 1 comprised 255 patients, and Group 2 comprised 85 patients. The baseline characteristics were similar between the groups. There were no statistically significant differences in terms of the median operation time and length of hospital stay among groups. There were no significant differences between groups for intraoperative complication rates (7.6% and 9.4%, respectively; P = .47) and postoperative complication rates (13.8% and 11.8%, respectively; P = .71), and stone-free rates (70.9% versus 72.9%, respectively; P = .73). Conclusions: Retrograde intrarenal surgery is an efficient and feasible treatment option for upper urinary tract stones in severely frail patients.

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来源期刊
CiteScore
2.90
自引率
0.00%
发文量
163
审稿时长
3 months
期刊介绍: Journal of Laparoendoscopic & Advanced Surgical Techniques (JLAST) is the leading international peer-reviewed journal for practicing surgeons who want to keep up with the latest thinking and advanced surgical technologies in laparoscopy, endoscopy, NOTES, and robotics. The Journal is ideally suited to surgeons who are early adopters of new technology and techniques. Recognizing that many new technologies and techniques have significant overlap with several surgical specialties, JLAST is the first journal to focus on these topics both in general and pediatric surgery, and includes other surgical subspecialties such as: urology, gynecologic surgery, thoracic surgery, and more.
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