在增强康复后再入院视频辅助胸腔镜手术切除切除
Lin Huang1, Henrik Kehlet2, René Horsleben Petersen3
1Department of Cardiothoracic Surgery, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Surgical endoscopy
|February 21, 2024
概括
视频辅助胸腔镜手术 (VATS) 切除发生在10.1%的患者中,主要是由于肺炎和肺胸. 男性性别和肺部并发症增加了再接收风险.
科学领域:
- 胸部外科手术 胸部外科手术
- 外科手术的结果
- 术后护理 术后护理
背景情况:
- 手术后增强恢复 (ERAS) 计划旨在优化手术恢复.
- 在VATS切除后,医院出院后患者康复的数据有限.
- 手术压力影响术后恢复,即使在ERAS实施后.
研究的目的:
- 调查ERAS VATS切除后90天再接收的发生率.
- 识别与早期 (0-30天) 和晚期 (31-90天) 再录取相关的风险因素.
- 分析该程序后再接收的主要原因.
主要方法:
- 对前性收集的VATS切除数据 (2019年6月 - 2022年6月) 的回顾性分析.
- 评估90天再接收的原因,分为早期或晚期.
- 后勤回归 (单变量和多变量) 用于识别再接收预测因素.
主要成果:
- 分析了850名患者;10.1% (86名患者) 经历了90天的再入院.
- 肺炎和肺胸炎是重新入院的最常见原因.
- 多变量分析确定男性性别,肺部并发症和神经系统并发症是显著的风险因素.
结论:
- 在ERAS VATS切除后,再录取率仍然很高.
- 肺炎和肺胸炎是重新入院的主要原因.
- 识别和管理风险因素,如男性性别和肺部并发症,对于改善结果至关重要.
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