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在COVID-19时代的腹腔外科手术旅游
Mark O McCarron1, Neil Black2, Peter McCarron3
1Departments of Neurology, Magee Campus, Londonderry BT48 7JL.
The Ulster medical journal
|May 6, 2024
概括
腹腔外科手术旅游在北爱尔兰正在增加,许多患者不符合国家卫生和临床卓越研究所 (NICE) 的标准. 手术后的监测和并发症率凸显了改善护理途径的需要.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 外科手术的结果
背景情况:
- 北爱尔兰的初级和二级医疗保健服务部门报告说,在英国以外接受减肥手术的患者数量有所增加.
- 自COVID-19大流行开始以来,这种趋势一直存在.
研究的目的:
- 为了估计减肥手术旅游的频率.
- 审核这些患者的指示,血液监测和医疗并发症.
主要方法:
- 在西部健康社会护理信托 (WHSCT) 中的一项对初级保健中心的调查记录了在2017-2022年期间接受过减肥手术的患者.
- 一个中心根据国家卫生与临床卓越研究所 (NICE) 的指导方针对患者的指示进行了审计.
- 根据英国肥胖和代谢外科协会 (BOMSS) 的指导方针进行了血液监测审计,并记录了手术并发症.
主要成果:
- 463名患者在6年内报告了减肥手术,年增幅显著.
- 只有44.7%的经过审计的患者符合NICE对减肥手术的标准.
- 手术后监测合规性显著下降了两年,伤口感染的患病率为19%.
结论:
- 据WHSCT报道,越来越多的患者在国家卫生服务机构之外接受减肥手术.
- 鉴于肥胖率的上升,北爱尔兰需要专门的肥胖管理服务至关重要.
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