导致在儿科外科门诊中过夜的危险因素
Marko Bašković1,2,3, Martina Markanović1,4, Sanja Ivanović1,4
1Department of Pediatric Surgery, Children's Hospital Zagreb, Ulica Vjekoslava Klaića 16, 10000 Zagreb, Croatia.
Children (Basel, Switzerland)
|April 27, 2024
概括
更长的手术持续时间是预测儿科当日手术患者住院的关键因素. 需要进一步的研究,才能充分了解儿童当天手术预测结果的预测因素.
科学领域:
- 儿科手术 儿科手术
- 麻醉学 麻醉学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 同日手术的目的是让患者在同一天退院.
- 识别预防儿科患者当日出院的因素对于优化外科手术途径至关重要.
研究的目的:
- 确定与未能在手术后的同一天出院的儿科患者相关的诱导因素.
主要方法:
- 从儿童医院的日间外科病房 (2021-2023) 的电子健康记录的回顾性审查.
- 对同一天未出院的患者 (n=68) 与同一天出院的对照组 (n=68) 的比较,根据年龄和性别进行匹配.
- 分析手术和麻醉变量,包括麻醉类型,止痛,手术室时间和手术持续时间.
主要成果:
- 在麻醉类型,止痛剂使用,手术室进入/退出时间和手术持续时间方面观察到群体之间的统计学上显著差异.
- 在需要住院的患者中,手术持续时间明显更长 (76.81±37.21分钟),而不是当天出院 (46.51±22.46分钟).
- 回归分析表明,手术持续时间 (p = 0.004) 是唯一重要的预测因素,解释了38%的住院变化.
结论:
- 手术持续时间成为小儿同日手术后住院的主要预测因素.
- 现有的研究有限,特别是在儿科患者群体中,强调需要进一步进行多中心研究.
- 需要进一步的研究来完善理解,并改善小儿同日手术的结果.
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