在耳鼻喉科/头手术中术后再接收风险因素/头手术
Jane Kwon1, Douglas Farquhar2, Jason Tasoulas3
1University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.
Head & neck
|February 28, 2024
概括
耳鼻喉科 (ENT) 手术患者面临高再接收风险. 识别诸如先前化疗/辐射和活跃吸烟等因素,可以帮助预防这些再入院并改善护理.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 外科手术的结果
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 耳鼻喉科 (ENT) 患者面临重新入院的高风险.
- 复杂的手术,改变言语/吞,以及术后并发症都会导致这种风险.
研究的目的:
- 确定耳鼻喉科患者计划外30天再入院的风险因素.
- 评估已识别的风险因素对再接收率的影响.
主要方法:
- 从2019年3月到2020年2月的耳鼻喉外科手术患者的回顾性评估.
- 对365名出院患者的分析,以确定未计划的30天再入院.
主要成果:
- 21名患者 (5.75%) 经历了非计划的30天再入院.
- 显著的危险因素包括急性心肌梗塞,并发症,先前的化疗/放射治疗,活跃吸烟,呼吸道手术和肠道养.
- 多变量分析确定了先前的化疗/辐射和活跃吸烟作为关键预测因素.
- 再接收风险随着多种风险因素的存在而升级.
结论:
- 大约75%的再接收是可以预防的.
- 在术后期对高风险患者的积极干预可以减少并发症和再入院.
- 改善外科手术期间的护理可以改善耳鼻喉科患者的整体结果.
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