英国手术的终身风险:全国性的观察队列研究
Sarah-Louise Watson1, Alexander J Fowler2, Priyanthi Dias2
1Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK.
British journal of anaesthesia
|July 31, 2024
概括
在英格兰,大约60%的人将在一生中接受手术. 由于COVID-19的流行,男性和女性的第一次手术的终身风险显著降低.
科学领域:
- 流行病学 流行病学
- 外科手术医疗保健研究研究
背景情况:
- 手术的终身风险和相关的医疗保健资源利用率在很大程度上是未知的.
- 终身风险量化了一个平均个体在一生中经历特定事件的概率.
研究的目的:
- 为了确定英国人口中手术的终身风险.
- 评估COVID-19大流行对手术终身风险的影响.
主要方法:
- 一项人口队列研究利用了2016-2020年英格兰医院病例统计数据.
- 根据特定年龄和性别计算的发病率,结合人口和死亡率数据.
- 采用生命表方法计算终身风险,比较大流行前和大流行期间.
主要成果:
- 在2016-2020年间,超过2300万次手术进行,其中超过1190万次是首次手术.
- 第一次手术的终身风险估计为女性的60.2%,男性的59.1%.
- 由于COVID-19的流行,第一次手术的终身风险在两性中大约降低了32%.
结论:
- 这种流行病学分析表明,英格兰约有60%的人在一生中接受手术.
- 这些发现突显了COVID-19大流行对外科手术发生率的影响.
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