气管切除术发生率和并发症:国家数据库分析
William Strober1, Dorina Kallogjeri1, Jay F Piccirillo1
1Department of Otolaryngology, Washington University School of Medicine, St. Louis, USA.
概括
气管切除术并发症很常见,影响10.3%的患者. 患病率较高的患者面临更高的风险,这凸显了针对性干预和改善患者咨询的必要性.
科学领域:
- 医学研究 医学研究
- 外科手术的结果
- 医疗服务研究 医疗服务研究
背景情况:
- 气管切除术是一种常见的手术,可能会出现并发症.
- 了解这些并发症的发生率和风险因素对于改善患者护理至关重要.
研究的目的:
- 为了确定气管切除术相关并发症的发生率.
- 确定与并发症风险增加相关的预后因素.
主要方法:
- 对保险索赔的国家行政数据库 (PearlDiver) 的分析.
- 包括医疗保险,医疗补助和商业保险的门诊和住院病人的记录.
- 从2010年1月到2021年10月使用CPT和ICD-9/ICD-10代码识别气管切除术和相关并发症.
主要成果:
- 总共分析了198,143例气管切除术,其中10.3%的患者在90天内至少遇到一次并发症.
- 从2010年到2019年,并发症率显著增加.
- 风险因素包括医院地区 (中西部更高),提供者专业 (耳鼻喉科医生更高),保险类型 (医疗补助更高) 和Elixhauser并发症指数 (较高的得分与更高的风险相关).
结论:
- 气管切除术并发症很常见,随着时间的推移,发病率显著增加.
- 患有较高并发症负担的患者的风险显著增加.
- 识别这些风险因素可以提高患者咨询,指导质量改进工作,并为未来关于气管切除术结果的研究提供信息.
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