严重损伤患者的泌尿系统损伤是否会导致较差的预后?[多变量风险分析]。

Urologie (Heidelberg, Germany) Pub Date : 2022-06-01 Epub Date: 2021-12-15 DOI:10.1007/s00120-021-01738-8
Ulrike Fochtmann, Pascal Jungbluth, Mirko Maek, Werner Zimmermann, Rolf Lefering, Sven Lendemans, Bjoern Hussmann
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引用次数: 1

摘要

背景:严重损伤患者合并泌尿生殖系统(GU)损伤在目前文献中很少被研究。如果有的话,分析通常集中在肾脏损伤上,而忽略了其他GU损伤,如输尿管损伤。在这项研究中,我们想要描述GU损伤患者的特征,并分析这种损伤对死亡率和住院时间的影响。材料和方法:对创伤登记DGU®数据进行回顾性分析的纳入标准为:2009年至2016年期间的损伤严重程度评分≥ 16,并提供年龄和住院时间数据。描述性分析用于比较有和没有GU损伤的患者。通过多变量回归分析评估GU损伤对死亡率和住院时间的影响。结果:90962例患者符合纳入标准;5.9%的患者有GU损伤(n = 5345)。骨盆骨折患者的患病率高达19%。GU外伤患者平均年轻10岁(42.9岁vs. 52.2岁),损伤更严重(ISS: 31.8岁vs. 26.4岁)。多因素分析表明,严重损伤患者的GU损伤不是死亡的独立危险因素。但是,特别是膀胱和生殖器损伤导致住院时间更长。结论:GU损伤不代表死亡的额外危险因素。然而,在调整确定的预后因素后,它们可能导致严重受伤患者住院时间延长。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Do concomitant urological injuries in severely injured patients lead to poorer outcomes? : A multivariate risk analysis].

Background: Severely injured patients with associated genitourinary (GU) injuries have only rarely been investigated in the current literature. If at all, analyses are commonly focussed on renal injuries, marginalising other GU traumas such as ureteral injuries. In this study, we would like to characterise patients with GU injuries and analyse the impact of such injuries on mortality and length of stay.

Materials and methods: The inclusion criteria for this retrospective analysis of TraumaRegister DGU® data were: Injury Severity Score ≥ 16 within the period between 2009 and 2016 with available data on age and length of stay. A descriptive analysis was used to compare patients with and without GU injuries. The impact of GU injuries on mortality and length of hospital stay was evaluated by means of multivariate regression analyses.

Results: In all, 90,962 patients met the inclusion criteria; 5.9% of them had suffered GU injuries (n = 5345). The prevalence in patients with pelvic fractures was up to 19%. On average, patients with GU trauma were 10 years younger (42.9 vs. 52.2 years) and more severely injured (ISS: 31.8 vs. 26.4). The multivariate analyses demonstrated that GU injuries in severely injured patients are no independent risk factor for mortality. However, particularly bladder and genital injuries result in longer hospitalisation.

Conclusion: GU injuries do not represent an additional risk factor for mortality. However, after adjusting for established prognosis factors, they can cause prolonged periods of hospitalisation of severely injured patients.

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