在COVID-19大流行期间,急性胆囊炎的多学科管理
Scientific reports
|September 27, 2023
概括
在COVID-19大流行封锁期间,急性胆囊炎 (AC) 病例增加了72.8%. 胆囊穿孔和再入院增加,年轻的患者和更频繁的皮肤透肝胆囊排水 (PTGBD).
科学领域:
- 胃肠病学和肝病学 胃肠学和肝病学
- 外科手术的结果
- 流行病学 流行病学
背景情况:
- 在全球范围内,COVID-19大流行严重扰乱了医疗保健服务.
- 急性胆囊炎 (AC) 的管理可能受到公众健康措施的影响,如锁定.
- 在疫情期间评估AC结果对于了解医疗保健系统影响至关重要.
研究的目的:
- 在COVID-19大流行全国封锁期间评估急性胆囊炎的临床结果.
- 为了比较患者人口统计学,AC严重程度,治疗策略和锁定期和大流行前历史控制期之间的结果.
主要方法:
- 一项比较研究分析了接受AC治疗的患者.
- 收集的数据包括患者特征,查尔森并发症指数 (CCI),AC严重程度,治疗方式和结果.
- 封锁期 (2020年4月至2021年11月) 与历史控制期 (2017年5月至2018年12月) 的比较.
主要成果:
- 在封锁期间,AC入院人数增加了72.8%.
- 封锁期间的患者年轻,在CCI 1组中患病率更高.
- 锁定期间观察到更高的胆囊穿孔率 (GP) 和无计划的再入院率,同时增加了通过皮肤通过肝胆囊排水 (PTGBD) 的使用.
结论:
- 全国范围内的COVID-19封锁与急性胆囊炎患病率显著增加有关.
- 在封锁期间,胆囊穿孔和无计划的再入院更频繁.
- 治疗趋势转向更具侵入性的手术,如PTGBD,成功的保守管理较少.
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