一个跨加拿大的阳性偏差研讨会,用于准食道手术:报告国家术后结果和共识建议
James Tankel1, Najib Safieddine2, Rick Malthaner3
1Division of Thoracic and Upper Gastrointestinal Surgery, McGill University Health Center, McGill University, Montreal, Quebec, Canada.
World journal of surgery
|February 15, 2024
概括
加拿大外科医生确定了最佳实践,以减少对食道修复后的不良事件和停留时间. 这种正偏差方法旨在改善患者的治疗结果和标准化护理.
科学领域:
- 手术结果研究研究.
- 在外科手术中的患者安全.
背景情况:
- 在对食道手术后的不良事件 (AEs) 和停留时间 (LOS) 显示出显著的变化.
- 标准化术后护理对于改善患者的治疗结果至关重要.
研究的目的:
- 确定最佳实践,以减少AEs和LOS在准食道手术.
- 使用正偏差方法,制定基于共识的外科手术期间建议.
主要方法:
- 一个加拿大的多中心虚拟正偏差 (PD) 研讨会进行.
- 分析了来自680名患者 (01/2017-01/2021) 的AE和LOS数据.
- 高绩效的中心分享了他们的治疗途径,以产生共识建议.
主要成果:
- 该研究包括来自加拿大5个省份8个中心的28名外科医生.
- 整体并发症发生率为17.8% (I级) 和7.8% (II-V级). 呼吸道并发症是最常见的.
- 中位数LOS差异很大 (1天与7天),在10/12的共识陈述上有很强的共识.
结论:
- 积极偏差研讨会有助于共同审查证据和专家经验.
- 这种方法可以产生可行的建议,以改善外科护理.
- 进一步的研究将验证这种方法在改善结果方面的有效性.
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