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美国患者在胃肠道手术后出现术后胃肠道功能障碍的发生率和危险因素
Yue Zhong1, Zhun Cao2, Dorothy Baumer2
1Takeda Development Center Americas, Inc., Cambridge, MA, USA.
American journal of surgery
|July 21, 2023
概括
手术后的胃肠功能障碍 (POGD) 影响5.8%的经历胃肠道手术的患者. 大型肠道手术增加POGD风险,而专业护理和皮肤穿刺方法减少了这一风险.
科学领域:
- 胃肠病学 胃肠病学
- 外科手术的结果
- 医疗保健服务研究 医疗服务研究
背景情况:
- 手术后胃肠功能障碍 (POGD) 是胃肠道手术后的一个重大问题.
- 确定POGD的发病率和风险因素对于改善患者的治疗结果至关重要.
研究的目的:
- 为了确定美国医院中POGD的发病率.
- 为了确定胃肠道手术后与POGD相关的潜在风险因素.
主要方法:
- 从2016年1月到2019年4月的住院出院数据的回顾性分析.
- 特定程序组的POGD发生率计算 (MDC-06).
- 多变量逻辑回归用于识别POGD的预测因子.
主要成果:
- 在638,611例住院治疗中,POGD发病率为5.8%.
- 大肠道手术,腹粘结解和尾切除术是显著的POGD预测因素.
- 专家手术和皮肤间干预措施与较低的POGD几率有关.
结论:
- 这些发现突出了影响POGD风险的关键程序和患者因素.
- 这些信息可以指导高风险患者的临床管理.
- 量身定制的管理计划可以减少POGD的发生率和影响.
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