全膝关节置换术患者术后严重并发症的危险因素

马璐璐; 虞雪融; 翁习生; 林进; 金今; 钱文伟; 黄宇光

doi:10.24920/003938

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全膝关节置换术患者术后严重并发症的危险因素

中国医学科学杂志（英文版） 2022年37卷第4期页码：303-308

Original article | Updated：2024-04-10

- 全膝关节置换术患者术后严重并发症的危险因素
- Affiliations：
  
  1. 1Department of Anesthesiology, Beijing 100730, China
  2. 2Department of Orthopedic Surgery;Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
- Author bio：
  
  * yxr313@aliyun.com
- Funds：
- DOI：10.24920/003938
  中图分类号：
- 收稿日期：2021-05-21，
  
  录用日期：2022-1-11，
  
  网络出版日期：2022-12-12，
  
  纸质出版日期：2022-12-31
- Accepted：
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马璐璐, 虞雪融, 翁习生, 等. 全膝关节置换术患者术后严重并发症的危险因素[J]. 中国医学科学杂志（英文版）, 2022,37(4):303-308.

Lulu Ma, Xuerong Yu, Xisheng Weng, et al. Possible Risk Factors for Severe Complications Occurring after Primary Total Knee Arthroplasty[J]. Chinese medical sciences journal, 2022, 37(4): 303-308.
马璐璐, 虞雪融, 翁习生, 等. 全膝关节置换术患者术后严重并发症的危险因素[J]. 中国医学科学杂志（英文版）, 2022,37(4):303-308. DOI： 10.24920/003938.

Lulu Ma, Xuerong Yu, Xisheng Weng, et al. Possible Risk Factors for Severe Complications Occurring after Primary Total Knee Arthroplasty[J]. Chinese medical sciences journal, 2022, 37(4): 303-308. DOI： 10.24920/003938.

摘要

目的

术后因严重并发症再次入院是全膝关节置换术后骨科医生最关注的问题之一。本研究分析了全膝关节置换术患者术后严重并发症的危险因素。

方法

我们回顾分析了2

974例于2013年7月至2019年6月在我院行全膝关节置换术患者的病历资料。Clavien-Dindo分级≥Ⅲ级定义为严重并发症。采用二元Logistic回归确定术后严重并发症的危险因素。

结果

全膝关节置换术患者术后并发症的发生率为6.8%，而严重并发症的发生率为2.5%。男性（

=2.178，95%

: 1.324~3.585，

= 0.002）、年龄

75岁（

=1.936，95%

: 1.155~3.244，

= 0.012）、心律失常（

=2.913，95%

: 1.350~6.285，

= 0.006）和脑血管疾病（

=2.804，95%

: 1.432~5.489，

= 0.003）是术后严重并发症的危险因素。

结论

对于具有高危因素的患者，如高龄、男性、伴有心律失常和脑血管疾病，应加强术后并发症的监测。

Abstract

Objective

Total knee arthroplasty is one of the most common orthopedic surgeries. Readmission due to severe complications after total knee arthroplasty is a grave concern to surgeons. In this study

we evaluated the risk factors for severe complications after primary total knee arthroplasty.

Methods

We retrospectively collected clinical data of 2

974 patients who underwent primary total knee arthroplasty from July 2013 to June 2019 in our hospital. Postoperative complication ≥ grade Ⅲ was defined as severe complication according to Clavien-Dindo classification system. Binary logistic regression was used to identify the predictive risk factors for severe complications.

Results

The complication rate after primary total knee arthroplasty was 6.8% and severe complication rate was 2.5%. Male (

= 2.178

95%

: 1.324-3.585

= 0.002)

individuals above 75 years old (

= 1.936

95%

: 1.155-3.244

= 0.012)

arrhythmia (

= 2.913

95%

: 1.350-6.285

= 0.006) and cerebrovascular disease (

= 2.804

95%

: 1.432-5.489

= 0.003) were predictive risk factors for severe complications after primary total knee arthroplasty.

Conclusion

Advanced age

male

arrhythmia

and cerebrovascular disease might be patients-related risk factors for postoperative severe complications after primary total knee arthroplasty. Special attention should be paid to patients with risk factors.

关键词

Keywords

references

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