手术后的肺部并发症和大腹部手术后的死亡率. 一个观察性的多中心前性研究
Federico Piccioni1, Lorenzo Spagnesi2, Paolo Pelosi3,4
1Anesthesia Unit1, Department of Anesthesia and Intensive Care, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy - dr.federico.piccioni@gmail.com.
Minerva anestesiologica
|September 6, 2023
概括
手术后的肺部并发症 (PPC) 在重大腹部手术后很常见,即使没有先前的呼吸问题. 这些并发症增加了死亡和住院的风险,突出了需要更好的预防策略.
科学领域:
- 麻醉学 麻醉学
- 胸部外科手术 胸部外科手术
- 关键护理医学 关键护理医学
背景情况:
- 手术后肺部并发症 (PPC) 是患者发病率和死亡率的重要原因.
- 这项研究侧重于没有先前存在的呼吸道疾病的患者,他们接受了重大选择性腹部手术.
研究的目的:
- 为了确定大选腹部手术后PPCs的发生率.
- 确定PPC的预测因素及其与死亡率的关联.
主要方法:
- 一项多中心观察前性临床研究,涉及40个意大利中心的1542名患者.
- 收集关于患者人口统计,手术程序和结果的数据,包括PPC和死亡率.
主要成果:
- PPC发生在12.6%的患者中,与妇科 (3.7%) 和泌尿器科 (9.0%) 程序相比,在全科手术 (18.3%) 中的发病率更高.
- PPC与增加住院时间,再接收风险以及住院和一年内死亡率有关 (OR 3.078).
结论:
- 在这个患者群体中,PPC的发病率很高,并且与更糟糕的长期结果有关.
- 与妇科和泌尿外科手术相比,一般手术对PPC和随后的死亡风险更高.
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