大型结直肠手术后的再入院率
Aoife Shorten1, Matthew G Davey2, William P Joyce3
1Department of Surgery, Galway Clinic, Co. Galway, H91 HHT0, Ireland.
概括
患有心脏和肺部疾病的患者在结直肠手术后更有可能重新入院. 将手术部位的照片发送给外科医生可以帮助减少手术部位感染 (SSI) 的再入院.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 外科手术的结果
- 患者重新入院的情况.
背景情况:
- 结直肠外科手术 (CRS) 后的再入院带来了重大的临床,心理和财务挑战.
- 识别高风险重新入院的患者仍然是手术护理中关键的未满足需求.
研究的目的:
- 确定大结直肠手术 (CRS) 后40天再入院的预测因素.
- 探索减少结直肠外科手术再入院的新策略.
主要方法:
- 一个未来的数据库515名患者接受主要的CRS由单个外科医生进行了分析超过15年.
- 作为潜在的干预措施,使用了患者提交的手术部位摄影.
- 描述性统计数据被用于数据分析.
主要成果:
- 在40天内整体再入院率为10.7% (55名患者).
- 心肺并发症 (心力衰竭,缺血性心脏病,功能障碍,心房动,高血压,喘) 与更高的再入院率显著相关.
- 手术部位感染 (SSI) 是重新入院的主要原因 (43.7%).
结论:
- 心肺并发症增加了重复入院的风险,主要的CRS.
- 大多数再录取与SSI有关.
- 患者提交的手术部位摄影显示了减少SSI,再入院和急诊室访问的希望.
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