在腰椎手术中的30日和90日再入院. 患病率和原因的差异
Anna Duc1, Stian Solumsmoen1, Tanvir Johanning Bari2
1Copenhagen Spine Research Unit (CSRU), Section of Spine Surgery, Center for Rheumatology and Spine Diseases, Rigshospitalet, Valdemar Hansens vej 17, 2600 Glostrup, Denmark.
Clinical neurology and neurosurgery
|September 29, 2023
概括
术后的医疗并发症,而不是手术问题,是腰椎手术后意外再入院的主要原因. 在出院前优化医疗护理和疼痛管理可以减少这些再入院.
科学领域:
- 神经外科 神经外科
- 脊柱外科手术 脊柱外科手术
- 医疗并发症 医疗并发症
背景情况:
- 腰部退行性疾病的手术治疗带来了显著的发病率,特别是在术后再入院方面.
- 这些 readmissions 的经济影响需要进一步调查.
- 有限的前性研究已经连续地解决了再接收风险.
研究的目的:
- 确定腰椎退行性脊柱手术后未计划的30日和90日再入院的发生率和原因.
- 为了确定在这些时间范围内修复手术的频率.
- 分析影响第三级护理中心再接收率的因素.
主要方法:
- 一项前性单中心队列研究包括1399名患者,他们在一年内接受了腰椎退行性脊柱手术.
- 收集的数据包括患者特征,手术细节和术后并发症.
- 再入院被分为外科或医疗,具体原因被记录下来.
主要成果:
- 30天的再接收率为9.4%,90天的再接收率为17.6%.
- 医疗原因 (全身感染,神经,心血管事件) 占主导地位,而不是手术原因 (疼痛,伤口并发症,再).
- 年龄是影响再录取的唯一重要因素.
结论:
- 在腰椎退行性脊柱手术后,医疗状况比手术问题更为频繁,是非计划性再入院的原因.
- 系统性感染,神经和心血管事件是关键的医学贡献者.
- 优化出院前的医疗管理和疼痛控制可能会降低再入院率.
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