周术麻醉相关的并发症和儿童的危险因素:卢旺达的一项跨部门观察研究
Francoise Nizeyimana1, Teresa Skelton2, M Dylan Bould3
1From the Department of Anesthesia and Critical Care, University Teaching Hospital of Kigali, University of Rwanda, Kigali, Rwanda.
Anesthesia and analgesia
|September 7, 2023
概括
卢旺达的小儿外科手术患者经历了高的术后并发症和死亡率. 干预措施对于改善护理质量和减少在这种低资源环境中的不良事件至关重要.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 全球手术全球手术
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 在低收入国家,关于儿科外科手术期间并发症的数据有限.
- 在全球范围内,手术条件对儿童造成了重大未满足的负担.
- 由于资源有限,卢旺达在儿科外科护理方面面临挑战.
研究的目的:
- 确定卢旺达儿科手术患者麻醉相关不良事件的发生率.
- 在接受手术的儿童中识别与外科手术期间并发症相关的危险因素.
- 强调需要提高儿科外科护理的质量.
主要方法:
- 一项前性研究于2015年6月至12月在卢旺达的三个公立转诊医院进行.
- 收集的数据包括患者病史,手术细节,并发症,麻醉技术和手术内/术后事件.
- 使用单变量逻辑回归来分析不良事件的风险因素.
主要成果:
- 这项研究招募了354名5岁以下的儿科患者.
- 经过手术期间发生的不良事件发生率很高,有25.1%的人经历了手术期间发生的事件,有20.6%的人在术后治疗单元 (PACU) 经历了不良事件.
- 11名儿童 (3.1%) 发生心脏骤停,死亡率为2.3% (8例死亡). 新生儿 (<1周) 患心脏骤停或死亡的风险更高. 报告指出,在护理标准方面存在重大缺陷.
结论:
- 卢旺达三级医院的儿科手术患者的术后并发症和死亡率惊人高.
- 迫切需要采取质量改善举措,以减少不良事件并改善结果.
- 解决护理标准对于在资源有限的环境中提高儿科手术安全至关重要.
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