预测在接受大肠直肠手术的患者中出现术后并发症,增强恢复途径
1Department of Anesthesiology, The First Affiliated Hospital of Chongqing Medical University, No.1 Youyi Road, Yuzhong District, Chongqing, 400016, China.
World journal of surgery
|October 8, 2023
概括
微创手术可以减少术后并发症,在手术后增强恢复 (ERAS) 结肠直肠手术后. 手术前贫血和老年增加并发症风险,突出了改善患者结果的关键因素.
科学领域:
- 结肠直肠外科手术是什么意思
- 手术后增强恢复 (ERAS) 协议.
- 手术结果和患者安全.
背景情况:
- 减少手术后并发症是手术后增强恢复 (ERAS) 计划的核心目标之一.
- 确定影响并发症的术后因素对于优化结直肠外科手术中的ERAS协议至关重要.
研究的目的:
- 在ERAS计划中,确定影响术后并发症的关键外科手术期间组件,在接受大结肠直肠手术的患者中.
- 开发一个术后并发症的预测模型.
主要方法:
- 在649名接受ERAS大结直肠手术的患者进行了回顾性队列研究.
- 单变量和多变量逻辑回归分析以确定并发症预测因子.
- 使用ROC和校准曲线开发和验证名ogram模型.
主要成果:
- 11.1%的患者在术后30天内至少出现一次并发症.
- 最少侵入性手术与明显较少的并发症 (OR 0.323) 相关.
- 手术前贫血 (OR 2.052) 和年龄较大 (OR 1.927) 是并发症的独立危险因素.
结论:
- 术前贫血和晚年是ERAS结直肠外科手术中术后并发症的重要危险因素.
- 最少侵入性的外科手术方法与改善的结果有关.
- 开发的诺米图表显示了术后并发症的良好预测性能.
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