在爱尔兰急性胆囊炎住院后的治疗和患者结果:一项基于国家注册表的研究
R M O'Connell1, N Hardy1, L Ward1
1Department of Hepatopancreaticobiliary Surgery, Mater Misericordiae University Hospital, Dublin, Ireland.
概括
爱尔兰急性胆囊炎的紧急胆囊切除术未得到充分利用,主要用于年轻,更健康的患者. 尽管吸收率低,但它导致改善结果,包括较短的住院时间和较少的再入院,与保守的管理相比.
科学领域:
- 一般外科 整体外科
- 胃肠病学 胃肠病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 急性胆囊炎是经常出现的外科紧急情况,根据国际指导方针,经常通过紧急胆囊切除术进行治疗.
- 关于在爱尔兰采用紧急胆囊切除术的数据有限.
研究的目的:
- 评估爱尔兰急性胆囊炎的管理.
- 为了确定执行的紧急胆囊切除术手术的速度.
主要方法:
- 使用NQAIS分析爱尔兰公共医院急性胆囊炎的20886次入院病例 (2017年1月至2023年7月).
- 倾向性得分匹配和后勤回归用于比较紧急胆囊切除术和保守管理之间的结果.
主要成果:
- 紧急胆囊切除术在20% (3585/17958) 的患者中进行,主要是腹腔镜 (96%).
- 接受胆囊切除术的患者比保守治疗的患者更年轻,更有可能是女性.
- 紧急胆囊切除术与在匹配的队列中减少住院时间 (LOS) 和减少再录取有关.
结论:
- 爱尔兰急性胆囊炎的紧急胆囊切除术的使用率很低.
- 紧急胆囊切除术是在年轻,更健康的患者群体中进行的,并且与更好的结果有关,包括更短的LOS和减少再入院.
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