在转移性癌的细胞还原性切除术后的临界护理疗法
Carolin Siech1,2, Mario de Angelis1,3,4, Letizia Maria Ippolita Jannello1,5,6
1Cancer Prognostics and Health Outcomes Unit, Division of Urology, University of Montréal Health Center, Montréal, QC, Canada.
Critical care medicine
|January 8, 2025
概括
针对转移性癌的细胞还原性切除术后,重症监护治疗率保持稳定,而住院死亡率下降. 老年和更高的并发症负担增加了急症护理需求.
科学领域:
- 在瘤学瘤学.
- 腎臟病學 (nephrology) 是一種醫學專業.
- 关键护理医学 关键护理医学
背景情况:
- 细胞还原性切除术是对转移性癌的治疗方法.
- 了解手术后的关键护理需求对于患者管理至关重要.
研究的目的:
- 为了评估为转移性癌而接受细胞减小切除术的患者的临床治疗利用率.
- 确定与重症监护治疗和住院死亡率相关的因素.
主要方法:
- 对经过手术治疗的转移性癌患者的国家住院样本 (2000-2019) 的分析.
- 评估关键护理疗法 (TPN,通风,RRT,PEG,气管切除术) 和住院死亡率.
- 使用多变量物流回归和趋势分析.
主要成果:
- 在10,915名患者中,7.3%接受了重症监护治疗;2.4%在医院死亡.
- 重症监护率保持稳定 (p=0.07),而死亡率随着时间的推移而下降 (p=0.004).
- 较高的年龄 (≥71岁) 和较高的并发症负担 (CCI ≥3) 预测了急症护理需求和死亡率的增加.
结论:
- 转移性癌的细胞减少性切除术涉及7.3%的重症监护率和2.4%的住院死亡率.
- 年龄≥71岁的患者和CCI≥3的患者患重症监护的风险最高.
- 术前风险因素评估对于高风险患者来说,在细胞还原性切除术前至关重要.
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