由于COVID-19大流行,外科技能的衰退是COVID-19大流行的结果
Natalia Olszewska1, Tomasz Guzel1,2, Thomas Carus2,3
1Department of General, Gastroenterological and Oncological Surgery, Central Clinical Hospital of Medical University of Warsaw, 02-091 Warsaw, Poland.
Life (Basel, Switzerland)
|August 29, 2024
概括
随着COVID-19大流行,手术减少,导致手术技巧下降. 疫情后的手术持续时间更长证明了这一点,这表明外科手术能力下降.
科学领域:
- 外科教育和培训外科教育和培训
- 腹腔镜外科手术的结果
- 流行病对医疗保健的影响
背景情况:
- 在全球范围内,COVID-19大流行严重扰乱了外科培训和实践.
- 客观评估外科实践差距对技能衰退的影响至关重要.
研究的目的:
- 客观地评估COVID-19引起的外科实践差距对外科技能衰退的影响.
- 为了比较大流行之前和之后的外科手术结果,以确定技能变化.
主要方法:
- 对148名成年人腹腔镜胆囊切除术的回顾性队列研究.
- 在大流行前9个月和大流行后9个月的手术数据的比较.
- 分析包括手术持续时间,手术内不良事件 (IAE) 和术后并发症 (PC).
主要成果:
- 在疫情前和疫情后的组之间,手术内不良事件 (IAE) 的数量没有显著差异.
- 在这两个时期,困难的胆囊病例与IAE风险增加有关.
- 在流行病后的时期,手术的平均持续时间明显更长 (119.9分 vs 102.4分).
结论:
- 手术持续时间和手术内不良事件是手术技能的关键指标.
- 在COVID-19期间手术体积的减少显然导致了手术技能的衰退.
- 多变量分析显示,在居民和专家之间,IAE或PC没有显著差异.
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