缺乏常规的术后实验室与儿科孔炎并发症无关
Jennifer Yang1, Lucy Yang1, Susan Zheng1
1Case Western Reserve University, School of Medicine, Cleveland, Ohio.
The Journal of surgical research
|December 16, 2023
概括
在小儿穿孔性尾炎手术后停止常规的术后实验室,并没有增加并发症率. 这一变化还导致腹腔的减少和住院时间缩短,这表明潜在的成本节约.
科学领域:
- 儿科手术 儿科手术
- 外科手术的结果
- 临床协议 临床协议
背景情况:
- 儿科穿孔性尾炎的术后管理缺乏标准化.
- 腹腔内 (IAA) 是一个重要的尾切除术后的并发症.
- 常规的术后实验室以前是标准的,但缺乏预测效用.
研究的目的:
- 评估停止常规术后实验室对并发症率的影响.
- 为了确定是否删除常规实验室会影响小儿穿孔尾炎的结果.
- 评估潜在的成本效益和患者舒适度的改善.
主要方法:
- 针对穿孔性尾炎的儿科尾切除术的回顾性审查 (2019-2021年).
- 并发症率的比较 (IAA,再入院等) 在带有和没有例行实验室的期间之间.
- 使用费舍尔精确测试和曼-惠特尼U测试进行统计分析.
主要成果:
- 整体并发症率没有显著差异.
- 在2021年,腹腔内 (IAA) 的统计学显著下降.
- 减少了2021年停留时间的中位数 (4.5天而不是6.0天).
结论:
- 停止常规的术后实验室是安全的,并没有增加并发症.
- 实践的变化可能会减少腹内和停留时间.
- 需要进一步的研究来证实移除常规实验室的好处.
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