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与进行气管切除术的耳鼻喉科医生相关的因素
Shady I Soliman1, Bharat Akhanda Panuganti2, David O Francis3
1Department of Otolaryngology, University of California San Diego, La Jolla.
JAMA otolaryngology-- head & neck surgery
|October 5, 2023
概括
耳鼻喉科医生更有可能对患有复杂疾病的患者进行气管切除术,例如部手术史或病态肥胖症. 这些患者往往具有具有挑战性的临床特征,需要专门的外科专业知识.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术手术手术手术手术手术手术手术手术手术
- 医疗保健服务研究 医疗服务研究
背景情况:
- 气管切除术通常由非耳鼻喉科服务机构进行.
- 影响气管切除术专业选择的因素尚未明确定义.
- 气管切除方法 (开放式或穿皮式) 可能起到作用.
研究的目的:
- 为了确定与耳鼻喉科医生进行的气管切割相关的人口和临床因素.
- 为了区分这些因素与与开放式和穿皮式气管切除技术相关的因素.
- 了解不同专家进行气管切除术的患者的复杂性.
主要方法:
- 多中心,回顾性队列研究.
- 包括心肺衰竭的成年患者 (≥18岁) 接受气管切除术.
- 从8个美国学术机构 (2013-2016) 的数据分析.
主要成果:
- 耳鼻喉科医生进行了22.3%的气管切除术.
- 与耳鼻喉科医生的表现相关的因素包括黑人种族,部手术史,抗凝治疗,病态肥胖症和较高的并发症得分.
- 黑人种族与开放式气管切割的可能性较低有关.
结论:
- 耳鼻喉科医生更有可能在患有复杂疾病的患者中进行气管切除术.
- 经过耳鼻喉科医生进行气管切除术的患者往往具有更具挑战性的临床特征.
- 这些发现凸显了在复杂的气管切割病例中需要专门的外科专业知识.
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