抗逆流体手术和副食道修复后的不当行为索赔:基于人口的分析分析
Nelli M J Nurminen1, Tommi K M Järvinen2, Ville J Kytö3,4
1Department of General Thoracic and Esophageal Surgery, Heart and Lung Center, Helsinki University Hospital and University of Helsinki, Haartmaninkatu 4, 00290, Helsinki, Finland. nelli.nurminen@helsinki.fi.
Surgical endoscopy
|November 27, 2023
概括
抗逆流体手术和准食道修复的并发症率在很大程度上是未知的. 虽然患者的伤害索赔很少见,但对食管修复和重复手术的比例过高,并且与更严重的结果有关.
科学领域:
- 胃肠病学 胃肠病学
- 外科手术的结果
- 公共卫生 公共卫生
背景情况:
- 现代抗逆流体手术和管修复的实际并发症率尚未得到充分确立.
- 之前对并发症率的估计依赖于单一机构的数据,这可能限制了概括性.
- 了解这些比率对于患者安全和外科实践改进至关重要.
研究的目的:
- 确定与抗逆流体手术和副食道修复相关的并发症率.
- 分析与这些程序相关的患者伤害索赔,使用国家注册表.
- 为了比较抗逆流体手术和副食道修复之间的并发症严重程度.
主要方法:
- 一项以人口为基础的回顾性队列研究使用芬兰国家患者伤害中心 (PIC) 注册表 (2010-2020) 的数据进行.
- 确定了患者受伤的病例,包括抗逆流体手术和副食道修复.
- 这些手术的基线患者数据从芬兰国家护理登记处 (2010-2018) 收集.
主要成果:
- 总共进行了5734次手术,其中5.9%是修订手术.
- 与抗逆流体手术 (35.9) 相比,对食管修复 (20.1%的手术) 与平均综合并发症指数得分 (47.6) 与抗逆流体手术 (35.9) 相比显著更高.
- 患者伤害索赔很少 (60索赔,1.7%的死亡率),但这些索赔中超出了对食道修复 (50%) 和重复手术 (18.3%) 的比例.
结论:
- 在芬兰,抗逆流体手术的发生率有所下降,而对食道的修复却有所增加.
- 副食道修复与更严重的并发症和更高比例的伤害索赔有关.
- 对于这两种情况的重复手术也占伤害索赔的很大一部分.
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