Comparison of Clinical Data Between Patients With Complications and Without Complications After Spinal Tuberculosis Surgery: A Propensity Score Matching Analysis.

Comparison of Clinical Data Between Patients With Complications and Without Complications After Spinal Tuberculosis Surgery: A Propensity Score Matching Analysis.
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脊柱结核手术后有并发症与无并发症患者临床资料比较:倾向评分匹配分析

DOI:
10.3389/fsurg.2022.815303
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发表时间:
2022
影响因子:
1.8
通讯作者:
Zhan, Xinli
Zhan, Xinli
中科院分区:
医学4区
文献类型:
--
作者:
Chen, Liyi;Liu, Chong;Ye, Zhen;Chen, Wuhua;Sun, Xuhua;Chen, Jiarui;Li, Hao;Liang, Tuo;Huang, Shengsheng;Jiang, Jie;Chen, Tianyou;Guo, Hao;Yao, Yuanlin;Liao, Shian;Yu, Chaojie;Wu, Shaofeng;Fan, Binguang;Zhan, Xinli

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本研究采用倾向评分匹配(PSM)分析探讨脊柱结核术后并发症的危险因素,并比较两组患者术后临床资料的差异。收集2012年6月至2021年6月在我院就诊的脊柱结核患者的临床资料,包括一般信息、实验室检查结果、手术信息、住院费用等。将资料分为并发症组和无并发症组。两组基线资料采用PSM分析。采用单因素和多因素Logistic回归分析两组间的差异。PSM分析共纳入292例患者:146例有并发症,146例无并发症。并发症组的手术时间、切口长度、住院时间和白蛋白量分别为162 ± 74.1、11.2 ± 4.76、14.7 ± 9.34和1.71 ± 2.82,无并发症组分别为138 ± 60.5、10.2 ± 3.56、11.7 ± 7.44,0.740 ± 2.44。并发症组的实验室费用、检查费用、监护费用、氧气费用及总费用均高于无并发症组。经Logistic回归分析,两组患者血清白蛋白含量差异有统计学意义(P < 0.05)。并发症组的几项费用高于无并发症组。经Logistic回归分析,血清白蛋白含量可能是预测脊柱结核术后并发症的独立因素。
This study used a propensity score matching (PSM) analysis to explore the risk factors of post-operative complications and compared the differences in clinical data between them following spinal tuberculosis surgery. The clinical data of patients with spinal tuberculosis were collected in our hospital from June 2012 to June 2021, including general information, laboratory results, surgical information, and hospitalization costs. The data were divided into two groups: complication and without complication groups. The baseline data of the two groups were obtained using the PSM analysis. Univariate and multivariate logistic analyses were used to analyze the differences between the two groups. A total of 292 patients were included in the PSM analysis: 146 patients with complications and 146 patients without complications. The operation time, incision length, hospital stay, and albumin quantity in the complications group were 162 ± 74.1, 11.2 ± 4.76, 14.7 ± 9.34, and 1.71 ± 2.82, respectively, and those in the without complication group were 138 ± 60.5, 10.2 ± 3.56, 11.7 ± 7.44, and 0.740 ± 2.44, respectively. The laboratory costs, examination costs, guardianship costs, oxygen costs, and total costs in the complications group were higher than those in the without complication group. A significant difference was observed in the albumin quantity by logistic regression analysis (P < 0.05). Several costs in the complication group were higher than in the without complication group. The albumin quantity may be an independent factor to predict post-operative complications of spinal tuberculosis by logistic regression analysis.
DOI: 10.1097/00007632-199708010-00022
发表时间: 1997-08-01
期刊: SPINE
影响因子: 3
作者:
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影响因子: 1.9
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