儿科粘合性小肠阻塞与相当大的经济负担和高频率的术后并发症有关
Cecilia Arana Håkanson1, Fanny Fredriksson2, Helene Engstrand Lilja3
1Department of Women's and Children's Health, Karolinska Institutet, Tomtebodavägen 18a, 171 77, Solna, Sweden.
Journal of pediatric surgery
|June 24, 2023
概括
新生儿手术经常导致儿童的粘性小肠阻塞 (ASBO),通常需要手术并导致并发症和高成本. 为了制定有效的儿科ASBO管理指南,需要进一步的研究.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 手术并发症 手术并发症
背景情况:
- 腹腔内粘附是粘合性小肠阻塞 (ASBO) 的常见原因,在儿科手术中发生率更高.
- 尽管ASBO在儿童中很常见,但缺乏明确的管理指南,相关的并发症和经济负担尚未明确定义.
研究的目的:
- 调查与儿科ASBO相关的潜在诊断,治疗,并发症和医疗费用.
- 在儿科人口中确定ASBO的主要驱动因素.
主要方法:
- 在2000年至2020年期间,对因ASBO住院的0-15岁儿童进行了观察性回顾性研究.
- 从医疗记录中提取数据,并使用Clavien-Dindo分类来分类并发症.
- 卡普兰-梅尔估计用于时间到ASBO分析.
主要成果:
- 分析了101名患有137次ASBO发作的患者,58.4%在新生儿期进行了初始手术.
- 结核性肠球炎,十二指管阻塞和初级ASBO是最常见的指数手术诊断.
- 保守治疗在86.6%的患者中失败,需要腹腔切除; 52%的患者经历了术后并发症,每次ASBO事件的中位成本为36,236美元.
结论:
- 新生儿手术是小儿ASBO的主要原因,经常需要手术干预.
- 儿科ASBO与高率的术后并发症和大量的医疗保健支出有关.
- 为儿科ASBO制定基于证据的管理准则至关重要.
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