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首页> 外文期刊>Journal of neurological sciences (Turkish) >Retrospective Evaluation of Postoperative Medical Complications and Mortality After Reconstructive Scoliosis Surgery
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Retrospective Evaluation of Postoperative Medical Complications and Mortality After Reconstructive Scoliosis Surgery

机译：脊柱侧弯重建术后术后医疗并发症和死亡率的回顾性评估

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Background: In this study, we aimed to investigate the perioperative complications and factors causing predisposing complications in patients who have undergone scoliosis surgery in our institution.Methods: Retrospective evaluation was performed from the medical records of patients who have undergone scoliosis surgery in our institution between 2000-2009. Age, gender, body weight, comorbidities, Cobb index, scoliosis etiology, duration of the surgery, preoperative and postoperative hemoglobin levels, instrumentation level, the amount of intraoperative and postoperative blood loss, blood transfusion requirements, preoperative pulmonary function tests, arterial blood gas analysis, duration of hospital, ICU stay and mortality rates were evaluated Results: The medical records of 209 patients were evaluated and 15 of them were excluded from the study. 129 female and 65 male patients were diagnosed as congenital (75 patients) or idiopathic (119 patients) scoliosis. The mean age was 16.5±9.2, the Cobb index was 50±18°. The mean duration of hospital stay was 19±15 days, and that of ICU stay was 0.86±1.8 days. Two of 194 patients (1%) died intraoperatively and 1 patient (0.5%) died postoperatively. Postoperative complications were reported in 14 (%6.7) patients and all of these 14 patients had at least one comorbidities. The patients who had complications (n=14) had more coexisting diseases and styaed longer in the hospital when compared with the patients who did not develop any complications (n=180, p<0.001)Conclusion: Preoperative comorbidities are directly related with postoperative complications and causes longer hospital stay after reconstructive scoliosis surgery.
机译：背景：本研究旨在探讨本院脊柱侧弯手术患者的围手术期并发症及易患并发症的因素。方法：对本院脊柱侧弯手术患者的病历进行回顾性评估。 2000-2009年。年龄，性别，体重，合并症，Cobb指数，脊柱侧弯病因，手术时间，术前和术后血红蛋白水平，仪器水平，术中和术后失血量，输血要求，术前肺功能检查，动脉血气分析，住院时间，ICU住院时间和死亡率。结果：评估了209例患者的病历，其中15例被排除在研究之外。 129名女性和65名男性患者被诊断为先天性脊柱侧弯（75例）或特发性（119例）。平均年龄为16.5±9.2，Cobb指数为50±18°。平均住院时间为19±15天，重症监护病房的平均住院时间为0.86±1.8天。 194名患者中有2名（1％）术中死亡，1名患者（0.5％）术后死亡。据报道有14名患者发生术后并发症（％6.7），并且这14名患者全部患有至少一种合并症。与没有并发症的患者（n = 180，p <0.001）相比，有并发症（n = 14）的患者并存疾病多且住院时间更长（n = 180，p <0.001）。结论：术前合并症与术后并发症直接相关并在重建脊柱侧弯手术后导致更长的住院时间。

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