由于卵巢癌的选择性手术后,与急诊室再入院相关的因素
Rosa A Salcedo-Hernandez1,2, Salim Barquet-Muñoz3, David Isla-Ortiz3,4
1Programa de Maestría y Doctorado en Ciencias Médicas, Odontológicas y de la Salud. UNAM, Mexico City, Mexico. rosasalher@gmail.com.
BMC women's health
|September 4, 2023
概括
卵巢癌患者的急诊室 (ER) 再入院发生在11.8%的患者中,并且与手术并发症有关. 将急诊室的再入院与医院的再入院区分开来,是改善患者护理和防止不必要的医院访问的关键.
科学领域:
- 妇科瘤学 妇科瘤学
- 外科手术的结果
- 医疗保健质量指标 医疗保健质量指标
背景情况:
- 再入院是卵巢癌护理的关键质量指标,但现有的评估存在局限性.
- 急诊室 (ER) 再入院是一种与患者成本增加相关的不良事件.
- 了解ER再接收率,原因和因素对于改善患者管理至关重要.
研究的目的:
- 为了确定卵巢癌患者的ER再接收率.
- 确定ER再录取的原因和相关因素.
- 为了区分急诊室的再接收与整体医院的再接收.
主要方法:
- 对592名卵巢癌患者进行了回顾性研究.
- 分析包括接受前期手术,新辅助疗法或复发性疾病手术的患者.
- 多变量分析被用来识别与ER再入院,医院再入院和手术并发症相关的因素.
主要成果:
- 紧急救护室再入院率为11.8% (70名患者).
- 与ER再入院相关的因素包括长时间的手术,手术内出血,长时间住院,手术时间和术后并发症.
- 手术并发症是唯一独立与ER再入院相关的因素 (OR=39.01).
结论:
- 紧急救护室再入院意味着患者出现症状或并发症.
- 对于完善医疗实践而言,对ER再接收的独立评估至关重要.
- 防止不必要的急救诊所访问可以改善患者的治疗结果,并降低医疗保健成本.
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