胰腺切除术后的再接收:印度第三级护理中心的经验
Rajneesh Kumar Singh1, Krishna Rao Gurana1
1Department of Surgical Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences (SGPGIMS), Lucknow, IND.
Cureus
|August 23, 2024
概括
在胰腺二切除术后的再入院发生在10.3%的患者中,通常是由于腹腔内收集. 大多数患者经历了良好的结果,再入院并不表示医疗保健质量差.
科学领域:
- 手术瘤学手术瘤学
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
背景情况:
- 手术后更好的康复有助于提前出院.
- 尽管发病率和死亡率下降,但胰腺切除术的再入院越来越令人担忧.
- 调查再接收原因和结果对于患者护理和预防至关重要.
研究的目的:
- 为了评估胰腺双管切除术后的再接收率.
- 确定重新接收的原因,干预措施,结果和预测因素.
- 分析再入院对患者护理的影响.
主要方法:
- 对997名接受胰腺双管切除术的患者进行了回顾性研究.
- 从1989年到2021年在印度北部的第三级护理中心收集的数据.
- 对再接收原因,干预措施,结果和预测因素的分析.
主要成果:
- 10.3%的患者 (103/997) 重新入院,腹腔采集是最常见的原因 (22.3%).
- 61.2%的重新入院患者有良好的结果; 51.5%的患者在30天内重新入院.
- 之前的胆管炎和伤口感染独立预测了再入院 (p < 0.008).
结论:
- 胰腺管切除术后的再接收与高的干预率有关,但总体而言恢复良好.
- 再接收不应该仅仅反映医疗保健的质量;患者教育和出院规划是关键.
- 术后并发症的有效管理和强大的出院系统可以减轻再入院.
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