在接受紧急结直肠手术的患者中,与30天死亡率和发病率相关的因素
Nahar A Alselaim1, Muhannad Abdulrahman Alsemari2, Mesnad Alyabsi3
1From the Department of Surgery, King Abdulaziz Medical City, College of Medicine, King Saud bin Abdulaziz University for Health Sciences and King Abdullah International Medical Research Center (KAIMRC), Riyadh, Saudi Arabia.
Annals of Saudi medicine
|December 10, 2023
概括
紧急结直肠手术的结果受到手术前的败血症的影响,这独立地增加了30天的死亡率. 手术后并发症也增加了接受紧急结直肠手术 (ECRS) 的患者的再入院率.
科学领域:
- 手术结果研究研究.
- 结肠直肠手术 结肠直肠手术
- 患者安全 患者安全
背景情况:
- 紧急结直肠外科手术 (ECRS) 后的30天期间具有显著的死亡和发病风险.
- 有限的数据存在于影响ECRS结果的因素,特别是在沙特人口中.
研究的目的:
- 为了确定和评估与30天术后死亡率相关的因素,在ECRS后.
- 评估在接受ECRS的患者中与术后并发症相关的因素.
主要方法:
- 一个回顾性队列研究在沙特阿拉伯利雅得的一个三级护理中心进行.
- 从电子医疗记录中收集了人口,手术和术后特征的数据.
- 使用单变量和多变量逻辑回归分析来确定与死亡率和并发症的关联.
主要成果:
- 在241名患者中,整体并发症率为26.6%,30天死亡率为11.2%.
- 手术前的败血症独立地与30天死亡率增加四倍有关 (OR 4.44).
- 手术后并发症显著增加了医院再入院的可能性 (OR 5.33).
结论:
- 手术前的败血症是ECRS患者30天死亡率的关键独立预测因素.
- 建议有效的败血症管理和结构化出院协议,以改善ECRS后患者的治疗结果.
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