Articles: postoperative-complications.
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Observational Study
Analysis of influencing factors for complications of anterior thoracolumbar tuberculosis surgery in adults.
This study analyzes the risk factors related to the complications of anterior thoracolumbar tuberculosis in adults and to provide clinical reference. A total of 98 adult patients with thoracolumbar tuberculosis undergoing anterior surgery in our hospital from February 2020 to December 2023 were selected, and the clinical data and postoperative complications were collected. The clinical characteristics were analyzed, and the risk factors related to surgical complications were analyzed by univariate analysis and multi-factor logistic regression model. ⋯ Multivariate Logistic regression analysis showed that age over 60 years old, preoperative Hb < 100 g/L, blood loss ≥ 800 mL, bone graft fusion method were independent risk factors for anterior postoperative complications of thoracolumbar tuberculosis (P < .05). The independent risk factors for surgical complications of anterior thoracolumbar tuberculosis were age over 60 years old, preoperative Hb < 100 g/L, blood loss ≥ 800 mL, titanium cage by bone graft fusion. Controlling these variable factors before operation can reduce the incidence of postoperative complications.
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Observational Study
Analysis of factors affecting early necrosis of the affected finger after surgery in patients with reimplantation of severed fingers.
The study aimed to investigate the factors associated with early necrosis of the finger after reimplantation of broken fingers. Sixty-seven cases of reimplantation of severed fingers in our hospital between January 2023 and December 2023 were retrospectively analyzed. All patients underwent reimplantation of severed fingers and were divided into early necrosis group and non-necrosis group according to the presence or absence of early necrosis of the finger body 7 days after surgery. ⋯ Multifactorial analysis showed that smoking history (OR = 7.255, 95% CI: 1.767-29.782), little finger (OR = 7.040, 95% CI: 1.897-26.130), preoperative ischemia ≥ 8 hours (OR = 15.714, 95% CI: 3.095-79.798), vasospasm (OR = 5.850, 95% CI: 1.563-21.894), crush injury (OR = 5.667, 95% CI: 1.393-23.059), postoperative infection (OR = 5.600, 95% CI: 1.544-20.312), and postoperative hypothermia of the skin (OR = 7.096, 95% CI: 1.872-26.906) were the necrotic post-replantation necrosis after amputation of the finger high-risk factors (OR > 1, P < .05). The risk of early necrosis of the affected finger after reimplantation of an amputated finger is closely related to smoking history, pinky size, preoperative ischemic time of more than 8 hours, vasospasm, crush injuries, postoperative infections, and postoperative hypothermic skin temperature. Preventive measures need to be taken in advance to reduce the risk of necrosis in the affected finger.
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It remains uncertain whether the utilization of methylprednisolone during surgery effectively mitigates the occurrence of adverse outcomes. To examine the association between perioperative methylprednisolone administration and postoperative pleural effusion and pneumonia in older patients with non-small cell lung cancer. ⋯ Perioperative methylprednisolone was associated with reducing the occurrence of postoperative pleural effusions in older patients with non-small volume lung cancer, but it was not associated with pneumonia or long-term survival outcomes.
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To explore the association of socioeconomic status (SES) and race/ethnicity with perioperative metrics within the Enhanced Recovery After Surgery (ERAS) framework to identify gaps for equity-informed improvements. ⋯ Low SES was linked to lower compliance with important process measures, higher infectious and all in-hospital complication rates, and longer LOS. Despite high rates of protocol compliance, Black race/ethnicity showed an association with increased odds of respiratory complications and extended LOS. Adjustments to perioperative protocols could address such disparities, helping to improve postoperative outcomes of colorectal surgeries.
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In a low-income country, the impact of preoperative anemia on postoperative mortality among noncardiac surgery patients is little understood. As a result, we aim to investigate the association between preoperative anemia and postoperative mortality in noncardiac surgery patients in Northwest Ethiopia. ⋯ The study found that patients undergoing noncardiac surgery in Northwest Ethiopia had a higher rate of preoperative anemia than those in high-income countries. Preoperative anemia had a significant association with 28-day mortality after surgery.