针对原发性自发性肺胸部外科护理的基于人口的研究
Quirine C A van Steenwijk1,2, Louisa N Spaans1, David J Heineman2
1Department of Surgery, Maxima Medical Centre, Veldhoven, Netherlands.
概括
初级自发性肺胸部的手术治疗,通常是带有多发性肺切除术,在荷兰医院之间显示出并发症和住院等结果的显著差异. 优化手术护理可以减少这些差异.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部病理学 肺部病理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 初级自发性肺胸炎 (PSP) 的手术策略缺乏标准化,导致实践变化.
- 这些变化可能会影响患者的结果,包括术后并发症和住院时间.
- 了解当前的实践模式对于改善PSP管理至关重要.
研究的目的:
- 分析荷兰PSP的国家外科实践模式.
- 量化跨医院的手术干预和相关结果的变化.
- 确定PSP手术护理潜在优化领域.
主要方法:
- 一项使用荷兰肺癌审计手术数据库 (2014-2021) 进行的国家人口基登记研究.
- 包括为PSP进行手术性肺膜切除和/或切除的患者.
- 收集关于手术类型,术后并发症,停留时间和复发率的数据.
主要成果:
- 确诊了1851名PSP患者;中位数年龄25岁,82%为男性.
- 胸膜切除术是最常见的手术 (83%).
- 整体并发症率为12% (6% Clavien-Dindo等级≥III),持续空气泄漏>5天是最常见的 (5%). 术后平均停留时间为4天.
- 观察到并发症率和住院时间长度在医院之间有显著的变化.
- 不同的手术程序之间没有发现显著的结果差异.
结论:
- 在荷兰,带有多发性切除术是PSP的首选手术方法.
- 在荷兰的医院中,对于PSP患者来说,术后并发症和停留时间存在很大差异.
- 建议优化手术护理途径,以减少这种患者群体的变化和改善结果.
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