风险因素与椎病患者的术后结果相关的风险因素接受了ACS-NSQIP数据库中的选择性大肠切除术-一项回顾性队列研究
Wan-Hsiang Hu1,2,3,4, Samuel Eisenstein3, Lisa Parry3
1Department of Colorectal Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, Taiwan.
个性化选择性切除术决定对于膜炎至关重要. 并发症的主要危险因素包括晚年,肥胖,吸烟和某些疾病,指导个性化患者护理.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 手术结果研究研究.
- 胃肠病学 胃肠病学
背景情况:
- 在急性椎炎后,选择性切除术被考虑,但术后不良结果的风险因素尚未确定.
- 建议对患者进行个性化评估,但需要确定特定的风险因素.
研究的目的:
- 为了确定患者特异性风险因素,与手术后的结果相关的选择性切除术后的分泌管疾病.
- 为临床决策提供信息,并可能减少并发症.
主要方法:
- 美国外科医生学院-国家外科质量改进计划 (ACS-NSQIP) 数据库的回顾性分析.
- 包括被诊断患有分歧性疾病的患者接受选择性切除术.
- 单变量和多变量分析以确定死亡率,发病率和整体并发症的独立风险因素.
主要成果:
- 对30468名患者的分析;67%接受了选择性切除术,30天死亡率为0.2%.
- 表面手术部位感染是最常见的发病率 (7.2%).
- 总体并发症的独立风险因素包括年龄≥75,BMI≥30,吸烟,呼吸不全,高血压,透,慢性类固醇使用,ASA III和开放式切除术.
结论:
- 患者特异性风险因素,如晚年,肥胖,吸烟和并发病,显著影响分泌管疾病选择性切除术后的术后结果.
- 识别和减轻这些风险可以优化手术决策并提高患者安全.
- laparoscopic colectomy 显示了与开放手术相似的风险因素,强调了患者因素而不是某些并发症的手术方法.
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