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与手术部位感染相关的死亡率和病例死亡率:一项追溯监测研究
Costanza Vicentini1, Heba Safwat Mhmoued Abdo Elhadidy1, Noemi Marengo1
1Department of Public Health and Paediatrics, University of Turin, Turin, Italy.
Surgical infections
|September 5, 2023
概括
手术部位感染 (SSI) 在结肠手术中减少,但在关节整形术中没有趋势超过十年. 这凸显了持续SSI监测患者结果的重要性.
科学领域:
- 传染性疾病 传染性疾病
- 外科手术的结果
- 公共卫生监督 公共卫生监督
背景情况:
- 手术部位感染 (SSI) 显著增加医疗保健成本,住院时间,发病率和死亡率.
- 有效的监测系统对于监测和减轻SSI的影响至关重要.
研究的目的:
- 分析结直肠和关节整形手术中SSI的10年趋势.
- 描述这些手术组中SSI所导致的死亡率.
主要方法:
- 意大利北部42家医院 (2010-2019) 的回顾性队列研究.
- 包括11,417次结肠外科手术和20,804次关节整形手术,这些手术由监控系统监控.
- 评估SSI率,整体死亡率和病例死亡率 (CFR).
主要成果:
- 结肠手术:SSI的发生率从9.21% (2010) 降至5.7% (2019).
- 结肠手术:整体死亡率显著下降,从4.96%降至2.96% (p=0.008).
- 关节整形:在过去十年中,没有观察到SSI或死亡率的显著趋势. 对于SSI的CFR为6.62% (结肠) 和3.7% (部).
结论:
- 为了改善手术中的患者结果,SSI监测至关重要.
- 结肠外科手术SSI下降趋势表明成功的干预措施,而关节整形需要进一步调查.
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