Charlson合并症指数与全髋或膝关节置换患者住院时间的相关性研究  

The relationship between the Charlson Comorbidity Index and the length of hospital stay in patients treated with total hip or knee arthroplasty

作　　者：黄靖 刘莉 刘晓艳[1] Huang Jing;Liu Li;Liu Xiaoyan(Deartment of Orthopedics»Orthopedics Reasearch Institute,West China School of Nursing,Sichuan University,West China Hospital,Chengdu 610041 China)

机构地区：[1]四川大学华西医院骨科骨科研究所四川大学华西护理学院,成都610041

出　　处：《中华老年医学杂志》2022年第4期438-442,共5页Chinese Journal of Geriatrics

基　　金：国家重点基础研究发展计划(2013CB532002);国家自然科学基金(30271269)。

摘　　要：目的研究髋或膝关节置换(THA或TKA)患者Charlson合并症指数(CCI)与住院时间(LOS)的相关性。方法对2019年至2020年收治的1 968例THA或TKA患者进行回顾性分析, 采用CCI评估术前合并症, 采用二元Logistics回归分析CCI与LOS之间的相关性。结果 CCI=0的THA患者平均住院(5.06±1.65)d, CCI=1、2、3和4~6的THA患者平均住院时间较CCI=0的患者分别延长[(5.29±2.09)d, Z=3.342、P=0.001)]、[(5.62±1.62)d, Z=5.410、P<0.001]、[(5.26±1.62)d, Z=5.106、P<0.001]和[(7.54±3.17)d, Z=5.109、P<0.001], CCI是THA患者LOS延长的预测因素;CCI=0的TKA患者平均住院(5.39±1.36)d, CCI=2、3和4~6的TKA患者平均住院时间较CCI=0的患者分别延长[(5.66±1.43)d, Z=5.394、P<0.001]、[(5.59±1.40)d, Z=5.394、P<0.001]和[(5.62±1.12)d, Z=3.455、P<0.001], CCI是TKA患者LOS延长的预测因素。结论 THA或TKA患者CCI得分可用于评估患者住院时间。Objective To investigate the correlation between the Charlson Comorbidity Index(CCI)and the length of hospital stay(LOS)in patients treated with hip or knee arthroplasty(THA or TKA).Methods A total of 1968 patients who had received total hip or knee arthroplasty between 2019 and 2020 were reviewed.Preoperative complications were assessed by CCI,and binary Logistic regression analysis was used to examine the association between CCI and LOS.Results THA patients with a CCI score of 0 hada mean LOS of(5.06±1.65)d.THA patients with a CCI score of 1.2.3,or 4-6 stayed longer by(5.29±2,09)d(Z=3.342,P=0.001),(5.62±1.62)d(2=5.410,P<0.001),(5.26±1.62)d,(Z=5.106,P<0.001)or(7.54±3.17)d,(Z=5.109,P<0.001),compared with those with CCI=0,indicating CCI was a predictor of prolonged LOS in THA patients.The average hospital stay for TKA patients with CCI=0 was(5.391.36)d,and the average hospital stay for TKA patients with CCI=2,3.or 4-6 was longer than that for patients with CCI=0 by(5.66±1.43)d.(Z=5.394.P<0.001),(5.59±1.40)d,(2=5.394,P<0.001),or(5.62±1.12)d.(Z=3.455,P<0.001),also proving CCI as a predictor of prolonged LOS in TKA patients.Conclusions The CCI score of THA or TKA patients can be used to assess the length of hospital stay.

关 键 词：关节成形术 置换 膝 关节成形术 置换 髋 住院时间 Charlson合并症指数 

分 类 号：R687.4[医药卫生—骨科学]