手术中的迷信:基于人口的队列研究,以评估13日星期五手术和术后结果之间的关联
Sanjana Ranganathan1, Carlos Riveros1, Michael Geng1
1From the Department of Urology, Houston Methodist Hospital, Houston, TX.
概括
在13日星期五接受手术的患者与在其他星期五接受手术的患者有相似的结果. 这项研究没有发现13日星期五手术的死亡,再入院或并发症风险增加.
科学领域:
- 医学结果研究研究研究.
- 手术患者的安全.
- 健康心理学健康心理学
背景情况:
- 患者和提供者围绕手术的焦虑可能会对结果产生负面影响.
- 迷信,特别是关于13号星期五的迷信,可能会加剧患者的焦虑.
- 以前的研究表明,心理因素与手术结果之间存在联系.
研究的目的:
- 调查13日星期五手术的患者与其他星期五相比,手术结果是否不同.
- 评估与迷信相关的焦虑对手术患者结果的影响.
- 提供基于证据的信息,以确定在潜在不吉利的日期安排选修程序的安全性.
主要方法:
- 追溯,基于人口的队列研究.
- 包括2007年至2019年期间接受常见外科手术的19747名成年患者.
- 结果的比较 (死亡,再入院,并发症) 在30天,90天和13日星期五和对照星期五之间的1年.
主要成果:
- 37.2%的手术发生在13日星期五 (n=7,349),62.8%在对照星期五 (n=12,398).
- 两组患者的特征在两组之间是可比的.
- 在30天,90天或1年后的复合结果中,在13日星期五和对照星期五进行手术的患者之间没有观察到统计学上显著的差异.
结论:
- 在13日星期五安排手术似乎不会对患者的结果产生负面影响.
- 这项研究提供了保证,患者的迷信与不良手术事件无关.
- 当手术在13日星期五进行时,与其他星期五相比,手术结果并非明显差.
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