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医生专业培训对儿科尾切除术结果的影响:NSQIP-P分析

Eli M Snyder¹, Maveric K Abella², Ivana J Yoon²

¹John A. Burns School of Medicine, University of Hawaii, 651 Ilalo St, Honolulu, HI, 96813, USA. emsnyder@hawaii.edu.

Pediatric surgery international

|November 10, 2024

概括

一般外科医生进行的儿科尾切除术的结果与儿科外科医生进行的结果相似. 这项研究发现小儿尾切除术的并发症,再入院或再手术没有显著差异.

科学领域:

儿科手术儿科手术
手术结果研究研究.
医疗保健服务研究医疗服务研究

背景情况:

尾切除术是儿童最常见的紧急腹部手术.
一般和儿科外科医生都会进行尾切除术,但儿科外科医生有专门的培训.
根据外科医生专业了解结果对于患者护理至关重要.

研究的目的:

为了比较小儿尾切除术的结果,一般外科医生与小儿外科医生进行.
为了确定两个手术组之间的术后并发症,再入院和重新手术的任何差异.

主要方法:

2015-2020年国家外科质量改进计划-儿科 (NSQIP-P) 数据库的分析.
利用多变量后勤回归来评估外科医生专业和各种结果之间的关联.
针对关键指标计算了调整后的赔率比率 (AOR) 和95%信心区间 (CI).

主要成果:

在一般外科医生和儿科外科医生之间的不良结果 (AOR:1.00,p=0.57) 中没有发现显著差异.
再录取率相似,一般外科医生没有统计学上显著的增加 (AOR:0.995,p=0.11).
恢复率 (AOR: 1.00, p=0.54) 和非家庭排放目的地 (AOR: 0.99, p=0.94) 也没有显著差异.

结论:

儿童医院的一般外科医生进行的小儿尾切除术的结果与小儿外科医生的结果相似.
在NSQIP-P数据库中存在局限性,需要进一步研究.
未来的研究应该包括来自成人和儿科外科数据库的数据,以全面理解.

关键词:

儿科尾切除术是指儿童的尾切除术.术后并发症术后并发症外科手术的结果

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