重叠髋关节手术的手术并发症风险

（健康日） - 根据12月4日在线发表的一项研究JAMA内科。

Bheeshma Ravi, M.D., Ph.D., from the University of Toronto, and colleagues examined whether overlapping surgery is associated with greater risk of complications in a retrospective population-based cohort study for 2009 to 2014. Participants from two large cohorts were included and followed up for one year. The hip fracture cohort included all persons aged older than 60 years who underwent surgery for a hip fracture, while the THA cohort included all primary elective THA recipients for arthritis. Overlapping and nonoverlapping hip fractures were matched for patient age and sex, surgical procedure (for the hip fracture cohort), primary surgeon, and hospital.

研究人员确定了38,008名髋部骨折手术，其中2.5％是重叠的。有52,869个，其中3.0％是重叠的。重叠髋关节骨折程序在匹配后具有增加的并发症风险，以及重叠的方法（分别危险比率，1.85和1.79）。随着重叠之间的并发症的不断增加的风险增加，持续的持续时间越来越多髋部骨折操作（调整的赔率比，每10分钟的重叠增加1.07）。

“这些调查结果支持重叠提供手术的概念应该是其中的一部分知情同意的过程“作者写道。

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