手术Apgar评分预测紧急整体手术后的并发症 腹腔切除术
Brett M Tracy1, Shruthi Srinivas, Holly Baselice
1From the Division of Trauma, Critical Care & Burn Surgery (B.M.T., S.S., H.B., J.R.C.), The Ohio State University, Columbus, Ohio; and Division of Acute Care Surgery (R.B.G.), University of Alabama at Birmingham, Birmingham, Alabama.
The journal of trauma and acute care surgery
|November 8, 2023
概括
手术Apgar评分 (SAS) 可以预测手术后的并发症在紧急一般手术患者进行腹腔切除术. 低SAS分数 (≤4) 识别出患有严重并发症和死亡风险较高的患者.
科学领域:
- 一般外科 整体外科
- 外科手术的结果
- 患者安全 患者安全
背景情况:
- 手术Apgar评分 (SAS) 是一个验证的工具,用于评估手术内风险.
- SAS尚未广泛应用于紧急普通手术 (EGS) 患者.
- 在EGS中预测术后并发症对于患者管理至关重要.
研究的目的:
- 评估SAS在预测经过腹腔切除术的EGS患者手术后并发症方面的实用性.
- 确定SAS是否可以指导术后处置和资源分配.
主要方法:
- 对482名接受探索性腹腔切除术 (2015-2019) 的成年EGS患者进行了回顾性审查.
- 根据术后并发症 (全身性,手术性,死亡) 的发生情况来对患者进行分类.
- 使用多变量回归分析来评估SAS作为并发症的预测因素.
主要成果:
- 32.8%的患者经历了术后并发症.
- 较低的SAS分数与较高的并发症率有显著的关联 (p < 0.0001).
- ≤4的SAS预测了49.2%的并发症风险,包括感染性休克风险增加,呼吸衰竭和死亡率.
结论:
- SAS准确地预测了经过紧急腹腔切除术的EGS患者的术后并发症.
- 一个SAS ≤4确定需要更密切的监测和资源分配的高风险患者.
- SAS可以帮助EGS患者迅速做出术后处置决策.
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