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大型紧急腹部手术后的短期和长期再入院:一项前性丹麦研究
Lív Í Soylu1, Dunja Kokotovic2, Ismail Gögenur3
1Department of Gastrointestinal and Hepatic Diseases, Emergency Surgical Research Group (EMERGE), Copenhagen University Hospitals - Herlev and Gentofte, Borgmester Ib Juuls Vej 1, 2730, Herlev, Denmark. liv.i.soylu@regionh.dk.
概括
经历重大紧急腹部手术的近一半患者在180天内面临再入院. 关键的风险因素包括胃肠道问题,感染和手术并发症,强调需要密切监测出院后的情况.
科学领域:
- 手术结果研究研究.
- 患者再接收分析
- 紧急腹部手术 紧急腹部手术
背景情况:
- 大型紧急腹部手术与严重的住院并发症和功能衰退有关.
- 相当数量的患者需要在出院后紧急再入院,对长期影响的了解有限.
研究的目的:
- 调查与短期 (30天) 和长期 (180天) 再录取相关的风险和原因.
- 确定有助于在重大腹部手术后紧急再入院的独立风险因素.
主要方法:
- 研究了一组504名接受重大紧急腹部手术的患者.
- 患者在出院后被跟踪了180天,并收集了详细的再接收数据.
- 考克斯的比例危险模型被用来确定重新接收的独立风险因素.
主要成果:
- 31.9%的患者在30天内重新入院,47.8%的患者在180天内重新入院.
- 短期再入院主要是由于胃肠道和外科创伤问题.
- 长期再入院源于感染,心血管并发症和腹部疼痛;胃部位和ASA得分为3被确定为危险因素.
结论:
- 近50%的患者在出院后180天内经历紧急再入院.
- 该研究确定了影响短期和长期再接收率的关键风险因素.
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