术前入院延迟增加了急性尾炎患者的术后发病率和死亡率:一个元分析
Gang Tang1, Linyu Zhang2, Lingying Xia1,3
1Division of Biliary Tract Surgery, Department of General Surgery, West China Hospital, Sichuan University.
International journal of surgery (London, England)
|July 11, 2024
概括
术前住院延迟超过24小时显著增加复杂尾炎,术后并发症和死亡的风险. 及时的尾切除术对于避免急性尾炎病例的不良结果至关重要.
科学领域:
- 手术结果研究研究.
- 胃肠道手术 胃肠道手术
- 公共卫生和医疗保健管理
背景情况:
- 复杂的尾炎带来了显著的发病率,死亡率和医疗保健成本.
- 手术前住院延误 (>24小时) 对尾炎并发症和患者结局的影响需要澄清.
研究的目的:
- 调查术前入院延迟 (>24小时) 与复杂尾炎的发生之间的关联.
- 评估这种延迟对急性尾炎患者的术后发病率和死亡率的影响.
主要方法:
- 根据PRISMA 2020和AMSTAR2指南进行系统审查和元分析.
- 在PubMed,Embase,Cochrane图书馆和Web of Science数据库中进行全面搜索.
- 包括随机对照试验和观察性研究,评估延迟>24小时.
主要成果:
- 对28项涉及512,881名患者的研究分析显示,延迟超过24小时是复杂尾炎的危险因素 (OR:1.60).
- 住院延误超过24小时显著增加了术后并发症 (OR:1.51) 和死亡率 (OR:1.81).
- 在延迟超过24小时和手术部位感染之间没有发现任何关联 (OR:1.04).
结论:
- 超过24小时的住院延迟是复杂尾炎的重要危险因素.
- 这些延迟与术后并发症和死亡率的增加有关,这强调了及时干预的必要性.
- 尾切除术应在24小时内进行,以减轻急性尾炎的不良结果.
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