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精神疾病并发症显著影响紧急手术患者的手术结果
Kate E McBride1,2, Judith Torzillo1, Rebecca Davis3
1RPA Institute of Academic Surgery (IAS), Royal Prince Alfred Hospital and University of Sydney, Sydney, New South Wales, Australia.
ANZ journal of surgery
|April 25, 2024
概括
在澳大利亚接受紧急手术的精神疾病患者面临更糟糕的结果,包括更长的住院时间和更多的并发症. 这凸显了改善对这一脆弱的外科患者群体的护理的需要.
科学领域:
- 医学研究 医学研究
- 外科手术的结果
- 心理健康 心理健康
背景情况:
- 精神疾病并发症和紧急手术在澳大利亚很常见.
- 关于精神疾病与紧急手术结果之间的联系的证据有限.
- 这项研究调查了澳大利亚精神疾病患者的紧急手术结果.
研究的目的:
- 为了比较精神疾病患者与没有精神疾病患者的紧急手术结果.
- 为了识别急诊室 (ED) 呈现,住院和术后并发症的差异.
主要方法:
- 在悉尼三家公立医院对成年手术患者 (2018-2019) 的回顾性队列研究.
- 用ICD-10代码将患者按精神疾病 (失偿,慢性抑郁症) 或没有精神疾病分组.
- 结果措施包括ED分拣,ED停留时间,住院死亡率和手术结果.
主要成果:
- 患有精神疾病的患者更有可能接受紧急手术 (2.6%vs0.7%选择性).
- 他们经历了更高的分拣类别 (34%对15%) 和更长的ED停留时间 (8.3对6.6小时).
- 更糟糕的结果包括更多的术后并发症 (26%vs. 8%) 和更长的住院时间 (33.8vs. 8.5天),死亡率没有显著差异.
结论:
- 患有精神疾病的患者在紧急情况下的外科手术结果更差,除了死亡率.
- 他们呈现出更严重的身体疾病,并且恢复较差.
- 需要进一步的研究,以改善这组患者的护理和治疗结果.
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