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减肥手术当天出院的结果
Sydney Cooper1, Shivam Patel1, Matthew Wynn1
1Department of Bariatric Surgery, Baylor Scott & White Hospital - Temple, Baylor College of Medicine, 2401 S 31St St MS-01-712, Temple, TX, 76508, USA.
Surgical endoscopy
|July 19, 2024
概括
减肥手术后的当天出院对于某些患者来说是安全的. 虽然大多数结果是相似的,但一些住院患者群体的再入院率和急救室访问率更高.
科学领域:
- 腹部外科手术的结果
- 手术患者出院协议 手术患者出院协议
- 最少侵入性的手术
背景情况:
- 随着COVID-19大流行,人们开始转向减肥手术的同日出院.
- 关于这种方法的安全性和有效性的现有研究产生了相互矛盾的结果.
- 这项研究旨在比较患者在同一天出院后的结果与传统的空腹手术后住院入院的结果.
研究的目的:
- 为了比较当天出院的安全性和有效性与腹手术后住院患者的入院情况.
- 分析关键结果,包括急诊室访问,重新手术,静脉注射液体治疗,再入院和死亡率.
- 评估二次结果,如感染,肺栓塞和急性损伤.
主要方法:
- 对1225名接受了腹腔镜或机器人辅助袖子胃切除术或Roux-En-Y胃绕道术的患者进行了回顾性分析.
- 患者被分为门诊 (同日出院) 和住院 (术后第一天出院) 组.
- 结果使用统计分析进行了比较,重点关注30天的发病率和死亡率.
主要成果:
- 门诊组的BMI通常较低,并与住院组相比较较少的并发病.
- 对于任何一种手术类型,在住院和门诊组之间没有观察到重复手术,IV液体治疗或30天死亡率的显著差异.
- 住院袖子胃切除组的再入院率较高 (4.6%对2.1%),住院胃旁路组的急诊次数较多 (21.7%对10%),相比于各自的门诊同行.
结论:
- 同日出院是空腹手术患者的安全和可行的选择,特别是那些并发症最小的患者.
- 谨慎的患者选择对于成功的当天出院协议至关重要.
- 进一步的研究可能会完善识别门诊减肥手术适合候选人的标准.
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