紧急腹腔切除术后的生活质量:系统性审查
Esha Khanderia1, Ravi Aggarwal2, George Bouras3
1Watford General Hospital, West Hertfordshire Teaching Hospitals NHS Trust, Watford, UK. esha.khanderia@nhs.net.
BMC surgery
|February 26, 2024
概括
紧急腹腔切除术往往会使手术后的生活质量 (QoL) 恶化,恢复需要几个月. 住院时间长度是影响患者手术后生活质量的关键因素.
科学领域:
- 外科手术的结果
- 患者报告的结果
背景情况:
- 紧急腹腔切除术带来了重要的术后风险.
- 患者的优先事项通常包括术后生活质量 (QoL),而不是死亡风险.
- 目前用于紧急腹腔切除术的风险评估工具缺乏QoL预测.
研究的目的:
- 在紧急腹腔切除术后系统地审查术后 QoL 的文献.
- 为了确定紧急腹腔切除术对患者的整体效果.
主要方法:
- 在Medline,EMBASE和Cochrane图书馆进行全面的文献搜索,截至2023年4月.
- 从包括的研究中对平均QOL得分的元分析.
- 在紧急腹腔切除术患者的术后QOL与对照组的比较.
主要成果:
- 审查中包括了10项研究.
- 七项研究报告了紧急腹腔切除术后更差的QOL;三个报告了改善的QOL.
- 医院住院时间较长与医院住院时间较差相关.
结论:
- 手术后的 QoL 结果需要包括在紧急腹腔切除术患者的报告中.
- 需要进一步的研究来确定可以增强术后生活质量的因素.
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