结肠癌手术加速增强恢复协议后的发病率
Misha A T Sier1,2, Sarah L Dekkers3,4, Thaís T T Tweed5
1Department of Surgery, Zuyderland Medical Center, Henri Dunantstraat 5, 6419 PC, Heerlen, The Netherlands. m.sier@zuyderland.nl.
Scientific reports
|August 19, 2024
概括
结直肠外科手术的加速恢复计划 (CHASE) 显示的并发症率与标准ERAS护理相似. 然而,CHASE协议可能会增加再入院,但会减少并发症患者的总停留时间.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 增强的恢复程序 恢复程序
- 患者的治疗结果.
背景情况:
- 加快增强恢复计划 (ERP) 允许在结肠直肠手术后1-3天排出.
- 之前的研究表明,对特定患者的可行性和安全性.
研究的目的:
- 检查加速ERP (CHASE) 后并发症的发生率,严重程度和治疗.
- 将CHASE协议的结果与标准ERAS护理进行比较.
主要方法:
- 一个回顾性队列研究,比较CHASE加速ERP协议与标准ERAS护理.
- 主要结局:严重并发症的发生率.
- 二次结果:整体并发症率,再接收率和逗留时间 (LOS).
主要成果:
- 在CHASE和ERAS队列中,整体和严重并发症的发生率相似.
- 查斯队伍的再接收率明显高 (41.9%与21.4%相比).
- 总LOS在CHASE队列中较短 (4 vs 6天),特别是在并发症患者中.
结论:
- 像CHASE这样的加速恢复协议对于接受结直肠手术的ASA I-II患者可能是安全的.
- 该CHASE协议表明,减少总停留时间的潜在好处,即使增加了再接收.
- 对优化加速ERP的进一步研究是有必要的.
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