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Yuanyuan Wang1,2, Wei Li1,2, Chuan-Min Zhou1,2
1Gastrointestinal Disease Diagnosis and Treatment Center, The First Hospital of Hebei Medical University, Hebei, China.
恶性肠道阻塞 (MBO) 和COVID-19显著增加肠道阻塞患者的死亡风险. 胃癌,手术后肺部并发症和静脉动脉瘤也成为需要密切监测的关键风险因素.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 传染性疾病 传染性疾病
背景情况:
- 肠道阻塞是一种严重的疾病,死亡率高,但其决定因素仍然不清楚.
- 了解死亡风险因素至关重要,尤其是在COVID-19大流行期间.
研究的目的:
- 在COVID-19大流行期间,确定肠道阻塞患者死亡的潜在风险因素.
- 阐明恶性肠道阻塞 (MBO) 和COVID-19对肠道阻塞死亡率的影响.
主要方法:
- 对227名肠道阻塞患者 (2022年9月 - 2023年1月) 的回顾性分析.
- 主要终点:退院后四周内死亡率.
- 用于评估风险因素的单变量和多变量逻辑回归模型.
主要成果:
- 恶性肠道阻塞 (MBO) 和COVID-19是独立的死亡风险因素.
- 在MBO和COVID-19患者中,死亡率上升至38.46%.
- 手术后的肺部并发症 (PPC),胃癌,VTE (卡普里尼评分≥5) 和COVID-19是术后死亡的重要独立风险因素.
结论:
- MBO,胃癌,COVID-19,PPC和VTE是肠道阻塞的关键死亡风险因素.
- 持续监测这些因素及其并发症对于改善患者管理至关重要.
- 胃癌在癌症患者小组中具有特别高的死亡风险.
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