并发症率及其原因的多维分析 管胸切除术:一种混合方法研究
Kenichiro Takeda1, Hajime Kasai1,2, Ikuo Shimizu2,3
1Department of Respirology, Chiba University Graduate School of Medicine, Chiba, JPN.
Cureus
|May 20, 2024
概括
管胸切除术 (TT) 的并发症在呼吸系统医学中经常发生. 患者因素,如日常生活活动不佳和类固醇使用,以及医疗因素,如培训期间缺乏高级医生支持,增加了TT并发症风险.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 医疗程序 医疗程序
- 患者安全 患者安全
背景情况:
- 管胸切除术 (TT) 是呼吸系统医学中常见的一种手术.
- 与TT相关的并发症很常见,但其患病率和风险因素尚未得到充分了解.
- 缺乏有关TT相关并发症有效对策的数据.
研究的目的:
- 为了确定TT相关并发症的发生率.
- 为了确定TT并发症的患者和医疗相关风险因素.
- 探索医生对TT相关并发症的易感性,并开发一种新的并发症率模型.
主要方法:
- 一个混合方法研究,结合了回顾性观察和定性方法.
- 追溯分析了2019年1月至2022年8月期间执行的169个TT程序.
- 使用接地理论进行定性探索,以了解TT并发症中的医生因素.
主要成果:
- 观察到11.8%的并发症率 (在169项手术中20项),与30天死亡率无关.
- 患者相关的危险因素包括日常生活的不良活动 (OR 4.3) 和定期的口服类固醇使用 (OR 3.1).
- 医疗风险因素包括高级医生的缺席 (OR 3.5),学员导致大多数并发症. 开发了一种新的TT并发症率模型.
结论:
- 管胸切除术后的并发症很常见,需要有针对性的干预措施.
- 患者因素和特定的医疗环境,特别是在医生培训期间,对并发症率有很大影响.
- 为医生建立一个支持性的培训环境对于减少TT相关并发症至关重要.
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