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在腹部和骨盆外科手术后,与粘附相关的再入院:一项回顾性队列研究
H Ellis1, B J Moran, J N Thompson
1Division of Anatomy, Cell and Human Biology, The Guy's, King's College and St Thomas's School of Biomedical Sciences, London, UK.
Lancet (London, England)
|May 8, 1999
概括
在腹部手术后,术后粘附很常见,在10年内影响超过三分之一的患者. 识别高风险程序对于有效的粘附预防策略至关重要.
科学领域:
- 胃肠道手术 胃肠道手术
- 手术并发症 手术并发症
- 流行病学 流行病学
背景情况:
- 手术后的粘附是腹部和骨盆外科手术后的重大并发症.
- 粘附的确切流行病学仍然不清楚,阻碍了有针对性的预防工作.
研究的目的:
- 调查一般人群中粘附相关并发症的频率.
- 为评估新的粘附预防措施建立基准.
主要方法:
- 利用了苏格兰国家卫生服务数据链接,用于1986年接受开放腹部/骨盆手术的患者.
- 随访了29790名患者10年,分析了与粘附相关的结果.
- 评估了1994年5百万人口的附着性相关录取率.
主要成果:
- 34.6%的患者在10年内因附着性相关问题重新入院,平均2.1个重新入院.
- 5.7%的所有再入院病例 (1209例) 直接与粘附有关;3.8% (1169例) 需要手术.
- 再录取在第一年达到顶峰,但在整个十年中持续稳定;1994年,有4199人直接与加入有关.
结论:
- 手术后的粘结给患者,外科医生和医疗保健系统带来了巨大的负担.
- 识别具有高粘附风险的手术程序是必不可少的.
- 需要仔细评估粘附预防策略.
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