儿童尾炎紧急手术后并发症的危险因素:全国前性观察队列研究
L A Sogbodjor1,2, C Razavi2,3, K Williams2
1Department of Anaesthesia and Pain Medicine, Great Ormond Street Hospital NHS Foundation Trust, London, UK.
Anaesthesia
|February 22, 2024
概括
研究了小儿尾切除术后的术后并发症. 少数民族和某些健康指标增加了风险,强调需要解决儿科手术中的健康不平等问题.
科学领域:
- 儿科手术 儿科手术
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 尾切除术是一种常见的儿科手术,死亡率低.
- 然而,关于并发症率和风险因素的详细数据有限.
- 了解这些因素对于改善患者治疗结果至关重要.
研究的目的:
- 确定在英国接受尾切除手术的儿童中术后并发症的发生率和流行病学.
- 确定与这些并发症相关的独立风险因素.
- 解决小儿尾切除术结果的潜在健康差异.
主要方法:
- 一个多中心前性观察队列研究.
- 包括因疑似尾炎接受手术的1至16岁儿童 (2019年11月至2022年1月).
- 使用多变量回归分析了患者的特征,并发症,生理状态和30天的术后发病率.
主要成果:
- 在2799名儿童中,有185名 (7%) 患有术后并发症.
- 来自黑人和"其他"少数民族的儿童的风险明显更高 (分别为OR 4.13和2.08).
- 其他危险因素包括ASA身体状况≥3,C反应蛋白升高,发烧症和外科期间补充氧气.
结论:
- 种族,而不是社会经济地位,独立地与英国儿科尾切除术中术后并发症的增加有关.
- 这突显了英国国家卫生服务 (NHS) 内的健康不平等.
- 需要进一步的干预措施来解决儿科手术护理中的这些差异.
相关概念视频
Appendicitis-II: Diagnostic Studies and Management
80
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
80
Appendicitis-I: Introduction
145
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
145
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
84
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
84


