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非洲手术结果研究中的术后患者结果:为期7天的前性观察队列研究
Bruce M Biccard1, Thandinkosi E Madiba2, Hyla-Louise Kluyts3
1Department of Anaesthesia and Perioperative Medicine, Groote Schuur Hospital, Faculty of Health Sciences, University of Cape Town, South Africa.
尽管手术并发症较少, 改善监测和资源对于改善整个非洲大陆的手术结果和患者安全至关重要.
科学领域:
- 全球健康
- 手术的结果
- 非洲医疗保健系统
背景情况:
- 在外科手术期间出现的并发症对全球健康造成重大负担,
- 非洲医疗机构的手术结果研究有限.
- 解决手术接入需要了解和减轻相关风险.
研究的目的:
- 研究在非洲接受手术的患者的术后并发症和死亡率.
- 建立不同非洲国家的手术结果的基准.
- 确定影响该地区外科手术结果的因素.
主要方法:
- 一项涉及25个非洲国家的7天前性观察队列研究 (非洲外科结果研究).
- 从247家医院招募了11,422名18岁以上的患者.
- 收集医院内术后并发症,患者人口统计和手术程序的数据.
主要成果:
- 18. 2% 的患者出现了术后并发症,感染是最常见的 (10. 2%).
- 死亡率为2. 1% (239例),大多数发生在手术后.
- 与高收入国家相比,患者的风险较低,57%的手术是紧急/紧急的.
结论:
- 与全球平均水平相比,非洲手术患者的死亡风险增加了两倍,尽管并发症率较低.
- 非洲扩大外科手术的倡议必须包括对术后患者的强化生理监测.
- 有足够的资源对于治疗术后并发症和改善患者存活率至关重要.
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