门诊外科手术和非计划的夜间住院治疗双边阴道的修复:一个基于人口的研究
Nils Jimmy Hidalgo1, Salvador Guillaumes2, M Magdalena Llompart-Coll3
1Department of Gastrointestinal Surgery, Institute of Digestive and Metabolic Diseases, Hospital Clínic Barcelona, C. de Villarroel, 170, Barcelona, 08036, Spain. nilshr@hotmail.com.
Langenbeck's archives of surgery
|May 27, 2024
概括
双边 inguinal 修复 (BHIR) 的门诊手术正在增加,但仍然很低. laparoscopic 修复和更高的医院容量与门诊程序的增加有关,而老年和并发症与住院住院有关.
科学领域:
- 手术 手术 手术
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- inguinal hernias 的门诊手术显示出不同的利用,尽管临床指导方针.
- 双边 inguinal 修复 (BHIR) 提出了手术方法和患者管理的具体考虑.
研究的目的:
- 分析西班牙BHIR门诊外科手术的趋势.
- 确定影响BHIR选择门诊手术与住院手术的因素.
- 为了确定在BHIR之后计划外入境的预测因素.
主要方法:
- 使用西班牙卫生部的RAE-CMBD数据库 (2016-2021) 进行的回顾性观察研究.
- 患者特征在门诊和住院BHIR队列之间的比较.
- 多变量后勤回归用于识别与门诊手术和意外入院相关的因素.
主要成果:
- 对于BHIR的门诊手术,从2016年的30%增加到2021年的41%.
- 有利于门诊手术的因素包括年龄较小 (<65岁),住院人数较多,初级,腹腔镜修复等.
- 伴随性疾病与门诊手术有负面关联; 开放式手术与无计划的夜间入院相关.
结论:
- 虽然门诊BHIR已经增长,但其整体率仍然不够理想.
- 腹腔镜修复与更高的门诊手术率和更少的意外入院有关.
- 患者年龄和并发症仍然是影响BHIR住院或门诊外科手术决定的重要因素.
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