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Learning Modern Laryngeal Surgery in a Dissection Laboratory
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全喉切除术和再接收:原因,发生率和预测因素
Almoaidbellah Rammal1, Abdulsalam Alqutub2, Omar Alsulami3
1Otolaryngology-Head and Neck Surgery Department, King Abdulaziz University Hospital, King Abdulaziz University, Jeddah, Saudi Arabia.
BMC research notes
|December 21, 2023
概括
在全喉切除术 (TL) 后的再入院影响了14.5%的患者,通常是由于手术部位感染或囊. 识别烟草使用和并发症等预测因素可以帮助降低再接收率.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术瘤学手术瘤学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 全喉切除术 (TL) 是一种复杂的外科手术,与重入院的高风险有关.
- 在TL后再入院可能会导致并发症,并表明护理质量问题.
- 了解再接收模式对于改善TL后患者的治疗结果至关重要.
研究的目的:
- 为了确定全喉切除术后60天内再入院的发病率.
- 确定导致TL后再接收的主要原因.
- 确定与TL后再接收风险增加相关的重要预测因素.
主要方法:
- 在一个单一的第三级护理中心进行了12年 (2008-2022) 的回顾性研究.
- 包括所有接受全喉切除术 (TL) 的患者.
- 分析了患者的病历,以查看人口统计数据,并发病症和重新入院的原因.
主要成果:
- 在83名患者中,12名 (14.50%) 在出院后60天内重新入院.
- 再入院的最常见原因是手术部位感染 (33.33%) 和粘膜皮质 (25%).
- 重返入院的关键预测因素包括吸烟,非洲族裔,未婚,手术前血清白蛋白较低,TSH较高,中性粒细胞数量较高,ASA得分较高和CIRS得分较高.
结论:
- 大约七分之一的TL患者在60天内重新入院.
- 伤口感染和囊是重新入院的常见原因.
- 手术前的因素,如低albuminemia,甲状腺功能低下,吸烟,种族,婚姻状况和并发症负担预测再接收风险.
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