发达国家和发展中国家紧急手术的死亡率和心脏骤停率:系统性审查和元分析
Kaikai Guo1, Fengying Xu2, Ye Li1
1Department of pain medicine, The First Medical Center, Chinese PLA General Hospital, 28 Fuxing Road, Beingjing, China.
BMC anesthesiology
|May 20, 2024
概括
随着时间的推移,在紧急手术期间的外科手术死亡率和心脏骤停风险显著下降. 然而,手术后30天的死亡率保持不变,突出显示全球需要改进的长期生存策略.
科学领域:
- 麻醉学 麻醉学
- 外科手术的结果
- 全球健康 全球健康
背景情况:
- 与紧急手术和麻醉相关的死亡和心脏骤停的风险需要进一步调查.
- 了解这些风险随着时间的推移和不同国家的趋势至关重要.
研究的目的:
- 评估术后和麻醉相关死亡和心脏骤停的时间趋势.
- 为了比较发达国家和发展中国家之间的下降率.
主要方法:
- 35项涉及超过309万次麻醉剂的研究的系统审查和元分析.
- 使用元回归和比例元分析来评估围绕外科手术死亡率,30天死亡率和心脏骤停的全球数据.
- 分析考虑了时间段 (2000年之前与2000年后) 和国家人类发展指数 (HDI) 状态.
主要成果:
- 随着时间的推移,外科手术期间的死亡率显著下降 (从每10,000人中的227人降至46人),但并没有随着HDI的增加而下降.
- 经过30天的术后死亡率没有随着时间的推移或HDI显著变化.
- 随着时间的推移,外科手术期间心脏骤停率下降 (从每10,000人中的113人降至31人),并且在高HDI的国家更低.
结论:
- 术后死亡率显著下降,但30天术后死亡率没有改善.
- 全球努力应集中在通过基于证据的实践提高长期存活率和减少术后心脏骤停,特别是在发展中国家.
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