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有和没有COVID-19病史的患者术后髋部并发症

[Post-surgical hip complications in patients with and without a history of COVID-19].

作者信息

Andrade-Moreno Saúl, Bonilla-Salcedo Rafael Ángel, Ramos-Ramos Xóchitl

机构信息

Instituto Mexicano del Seguro Social, Centro Médico Nacional del Bajío, Hospital de Especialidades No. 1, Dirección de Educación e Investigación en Salud. León, Guanajuato, México.

Instituto Mexicano del Seguro Social, Centro Médico Nacional del Bajío, Hospital de Especialidades No. 1, Dirección de Educación e Investigación en Salud, Jefatura de Ortopedia y Traumatologia. León, Guanajuato, México.

出版信息

Rev Med Inst Mex Seguro Soc. 2023 Sep 18;61(Suppl 2):S275-S281.

Abstract

BACKGROUND

The World Health Organization (WHO) declared COVID-19 a pandemic on March 11, 2020. Patients who tested positive for COVID-19 experienced a higher overall rate of post-surgical complications and hospital mortality.

OBJECTIVE

To compare the asociation of post-surgical complications presented in post-surgical hip patients with and without history of COVID-19 infection.

MATERIAL AND METHODS

Prospective cohort study. The inclusion criteria were: post-hip surgery adults with and without a history of COVID-19 infection who attended their post-surgical follow-up consultation. The association of post-surgical complications in both groups was studied. The association of complications was analyzed with the chi-squared statistical test, and the effect size with Cramer's V test.

RESULTS

The association of complications and a history of COVID-19 infection was moderate, with a chi-squared of 2.55, V Cramer of 0.23. The most frequent complication was aseptic loosening of prosthetic components. The pre-surgical diagnosis and its association with both groups had a chi-squared of 10.07, and a V Cramer of 0.45, at the expense of hip fracture.

CONCLUSIONS

A history of COVID-19 infection may be associated with the presence of post-surgical complications. Aseptic loosening of prosthetic components was the most frequent complication in both groups of patients, and hip fracture was the main pre-surgical diagnosis.

摘要

背景

世界卫生组织(WHO)于2020年3月11日宣布新型冠状病毒肺炎(COVID-19)为大流行病。COVID-19检测呈阳性的患者术后并发症和医院死亡率的总体发生率较高。

目的

比较有和没有COVID-19感染史的髋关节置换术后患者出现的术后并发症情况。

材料与方法

前瞻性队列研究。纳入标准为:有和没有COVID-19感染史、接受术后随访咨询的髋关节置换术后成年患者。研究两组患者术后并发症情况。采用卡方统计检验分析并发症的相关性,采用克莱默V检验分析效应量。

结果

并发症与COVID-19感染史的相关性为中度,卡方值为2.55,克莱默V值为0.23。最常见的并发症是假体组件无菌性松动。术前诊断及其与两组的相关性卡方值为10.07,克莱默V值为0.45,以髋部骨折为代价。

结论

COVID-19感染史可能与术后并发症的发生有关。假体组件无菌性松动是两组患者最常见的并发症,髋部骨折是主要的术前诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cd4/11957250/4d589bcb7ca0/04435117-61-Suppl2-S275-c001.jpg

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