小儿甲状腺切除术患者同日出院:评估出院的安全性和障碍
Kaitlin July O'Brien1, Abdullah Naveed2, Siddharth Patel3
1Division of Pediatric Otolaryngology-Head and Neck Surgery, Children's Mercy Hospital, Kansas City, Missouri, USA.
概括
对于小儿甲状腺切除术患者来说,同日出院是安全的,因为手术时间较短,并且使用止血剂. 这种方法在研究小组中没有显示出任何并发症或再入院.
科学领域:
- 儿科手术 儿科手术
- 内分泌手术 内分泌手术
- 外科手术的结果
背景情况:
- 甲状腺切除术是儿童甲状腺结节的常见手术.
- 成人研究支持甲状腺切除术后当天出院,但儿科数据有限.
研究的目的:
- 评估小儿甲状腺切除术当天出院的安全性和可行性.
- 确定与同一天出院与入院相关的因素.
主要方法:
- 在接受甲状腺切除术的儿科患者 (0-18岁) 的回顾性队列研究.
- 通过手动图表审查从2003-2022年在儿科三级护理医院收集的数据.
- 在入院和当天出院组之间对外术期间变量和结果的比较.
主要成果:
- 105名儿科患者接受了甲状腺切除术;14%的患者在同一天出院.
- 同日出院的患者的手术时间显著缩短,血液静止剂的使用增加.
- 在同一天出院的组中,没有观察到术后并发症或30天的再入院.
结论:
- 同日出院是选择儿科甲状腺切除术患者的安全和适当选择.
- 较短的手术时间和手术内静止剂的使用是成功在同一天出院的指标.
- 进一步的研究可以支持在儿科甲状腺手术中更广泛地采用这种放电策略.
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