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减肥手术后再入院的预测因素:肥胖中心的经验
Mohammad Rashdan1, Lana Al-Sabe1, Mohammad Salameh1
1Department of General Surgery, Faculty of Medicine, The University of Jordan, Amman, Jordan.
Medicine
|August 9, 2024
概括
腹腔外科手术再入院的总比率为23.23%,早期再入院通常是由于恶心,吐和脱水. 手术前的体重指数和抑郁症独立预测了再接收风险.
科学领域:
- 腹部外科 腹部外科
- 胃肠病学 胃肠病学
- 外科手术的结果
背景情况:
- 可避免的重入院后腹部外科手术造成了严重的医疗负担.
- 再录取率差异很大 (1-20%),预测因素尚未得到充分研究.
研究的目的:
- 为了确定减肥手术重收率.
- 识别预测早期 (90天内) 和晚期再录取的因素.
主要方法:
- 对736名接受了拉巴可视袖子胃切除术或Roux-en-Y胃绕道 (2016-2019) 的患者进行了回顾性队列研究.
- 对人口统计数据,并发症和再接收原因的分析.
- 多变量后勤回归用于确定再接收的预测因素.
主要成果:
- 整体再接收率为23.23%,30天再接收率为6.62%.
- 早期的再接收 (恶心,吐,脱水) 与晚期的再接收 (胆囊结石) 有所不同.
- 再入院的独立预测因素包括手术类型 (OR 2.14),抑郁症 (OR 6.49) 和手术前的BMI (OR 1.03).
结论:
- 手术前的体重指数和抑郁症是重症手术再入院的重要独立风险因素.
- 了解这些因素可以帮助减轻再入院率并改善患者的治疗结果.
- 对比较高的BMI或抑郁症患者的向干预措施可能会减少再入院.
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