在结肠癌患者中最大限度地减少再接收
Mario Schootman1, Chenghui Li2, Jun Ying3
1Division of Community Health and Research, Department of Internal Medicine, College of Medicine, The University of Arkansas for Medical Sciences, Springdale, Arkansas; Winthrop P. Rockefeller Cancer Institute, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
预防长期的术后内脏和转向微创手术 (MIS) 显著减少结肠癌患者的再入院. 专注于这些因素并防止解剖学泄漏对资源分配产生最大影响.
科学领域:
- 手术瘤学手术瘤学
- 医疗保健服务研究 医疗服务研究
- 患者的治疗结果.
背景情况:
- 对结肠癌患者的再接收是一个重大挑战.
- 识别可修改的风险因素对于有效的资源配置和绩效改进至关重要.
研究的目的:
- 确定可修改风险因素对减少结肠癌患者30天再入院的影响.
- 优先考虑干预措施,以最大限度地降低再接收率.
主要方法:
- 使用美国外科医生学院国家外科质量改进计划数据 (2012-2020) 的队列设计.
- 分析包括了经过小肠切除术并活着出院的结肠癌患者.
- 结果测量是30天的再入院;可修改的风险因素包括手术方法,肠道准备和术后并发症.
主要成果:
- 分析了111,691名患者;10.0%的人经历了30天的再入院.
- 预防长时间的骨质疏松和从开放性切换到最少侵入性手术 (MIS) 提供了最大的相对降低再入院率 (28.0%).
- 预防静脉漏显示6.2%的相对减少;其他因素的影响有限.
结论:
- 优先考虑专注于预防长期阴茎的干预措施.
- 增加对小肠切除术的微创手术 (MIS) 的使用率.
- 实施策略,以防止门泄漏,以减少结肠癌患者的再入院.
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