对"在工作时间"和"工作时间后"进行的突发头骨神经外科手术的结果进行比较
Nathaniel R Ellens1, Stephen Susa2, Ricky Hoang3
1Department of Neurosurgery, University of Rochester, Rochester, New York, USA.
World neurosurgery
|October 28, 2023
概括
在小时后 (AH) 进行的部神经外科手术与在小时 (DH) 手术相比没有显示出更糟糕的结果. 在AH手术中,返回手术室的30天回归率较低,这表明紧急病例的安全性相似.
科学领域:
- 神经外科 神经外科
- 外科手术的结果
- 医疗保健操作 医疗保健操作
背景情况:
- 新兴的头骨神经外科手术通常在标准营业时间之外进行.
- 人们担心,外科手术后 (AH) 和外科手术期间 (DH) 的并发症可能会增加.
- 关于白天时间对部神经外科手术结果的影响的数据有限.
研究的目的:
- 为了比较新出现的头骨神经外科手术的结果,进行AH与DH.
- 根据手术时间确定并发症率和患者结局的任何显著差异.
主要方法:
- 这是一项针对393名部神经外科新生患者 (2015-2019年) 的单一中心回顾性研究.
- 分类手术为DH (8am-5pm,星期一-星期五) 或AH.
- 评估了各种结果指标,包括返回OR,停留时间和死亡率.
主要成果:
- 与DH手术 (n=114,14.0%) 相比,AH手术 (n=279) 的OR回归率在30天内显著降低 (8.6%).
- 没有观察到 AH 和 DH 组之间在手术长度,血液损失,格拉斯哥昏迷表上改善或死亡率方面存在显著差异.
- 对腹膜下血瘤病例的亚组分析显示,没有显著的结果差异.
结论:
- 工作时间后的头骨神经外科紧急情况与工作时间内的手术相比似乎没有负面结果.
- 这些发现表明,无论时间如何,新出现的部神经外科手术的安全性都相当.
- 需要进一步的研究来评估基于时间的选择性神经外科病例的结果.
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