在儿科人口中,桃体切除术后再入院的发病率和预测因素
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CO2-Lasertonsillotomy Under Local Anesthesia in Adults
Published on: November 6, 2019
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Shmokh Alsalamah1, Jumanah Alraddadi1, Azouf Alsulaiman1
1College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
International journal of pediatric otorhinolaryngology
|January 14, 2024
概括
儿童桃体切除术的再入院率很高,主要原因是口服不足和出血. 单次手术后疼痛管理显著增加了再接收风险.
科学领域:
- 儿科手术 儿科手术
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医疗保健结果的结果
背景情况:
- 桃体切除术是一种常见的儿科手术手术.
- 了解再接收率和原因对于改善患者护理至关重要.
- 这项研究调查了小儿桃体切除术的再入院情况.
研究的目的:
- 为了确定桃体切除术后儿童再入院的发生率.
- 确定重新接收的主要原因.
- 为了精确地确定桃体切除术后再接收的预测因素.
主要方法:
- 对1280名儿科患者 (≤18岁) 的回顾性队列研究.
- 在三级医院从2019-2020年收集的数据.
- 后勤回归分析确定了再接收预测因素 (p≤0.05).
主要成果:
- 儿科桃体切除术的再入院率为6.3% (95% CI:5.1-7.9).
- 重新入院的主要原因:口服不足 (55.6%),出血 (49.4%) 和吐 (13.6%).
- 单次手术后止痛是重新入院的重要预测因素 (OR:57.27,P=0.000).
结论:
- 儿科桃体切除术后的再接收率特别高.
- 口服不足和出血是重新入院的最常见原因.
- 单剂量术后止痛与增加再入院可能性密切相关.
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