探索综合性并发症指数在标准皮穿性瘤切除中对clavien-dindo分类的权威:呼吁更好地报告并发症
Hakan Bahadir Haberal1, Tayfun Anlar2, Fatih Celik2
1Department of Urology, Ministry of Health, Ankara Ataturk Sanatoryum Training and Research Hospital, University of Health Sciences, Ankara, 06290, Turkey. bahadirhaberal@gmail.com.
World journal of urology
|September 26, 2024
概括
综合性并发症指数 (CCI) 比克拉维恩 - 丁多分类 (CDC) 更好地预测皮肤瘤切除术 (PCNL) 后的停留时间. 累积CCI在评估PCNL患者的并发症负担方面更有效.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 外科手术的结果
- 腎石病的管理方法
背景情况:
- 克拉维恩 - 丁多分类 (CDC) 在分类术后并发症方面存在局限性.
- 综合并发症指数 (CCI) 是为了提供更详细的评估手术并发症而开发的.
研究的目的:
- 评估CDC和CCI对接受标准皮肤透神经切除术 (PCNL) 患者手术后过程的预测价值.
- 为了比较累积CCI与非累积CCI在PCNL后预测结果的有效性.
主要方法:
- 对320名接受标准PCNL的患者进行了回顾性分析.
- 在30天内出现的并发症使用CDC和CCI进行评估.
- 非累积的CCI是根据CDC最高等级进行比较而计算的.
主要成果:
- 整体并发症率为23.1%.
- 累计CCI与住院时间 (LOS) 的相关性比非累计CCI更强.
- 患有多种并发症的患者在基线特征上与患有单一并发症的患者没有差异.
结论:
- 与CDC相比,累积CCI是LOS和并发症负担的更有效预测器,遵循标准PCNL.
- CCI系统提供了一个更合适的方法来评估PCNL后的并发症.
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