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严重的精神疾病延长了肺癌切除术后的住院时间
J Nathaniel Diehl1, Audrey L Khoury2,3, Julia A Brickey1
1University of North Carolina School of Medicine, Chapel Hill, NC, USA.
接受肺癌手术的严重精神疾病 (SMI) 患者的死亡率或发病率没有增加. 然而,这些患者的住院时间显著增加,这表明需要有针对性的支持.
科学领域:
- 胸部外科手术 胸部外科手术
- 在瘤学瘤学.
- 精神病学是一个精神病学.
背景情况:
- 严重精神疾病 (SMI) 与更糟糕的外科手术结果有关,但其对胸部手术患者的影响尚未完全理解.
- 伴随性SMI患者的肺癌切除结果需要进一步调查.
研究的目的:
- 为了确定合并性SMI是否影响肺癌切除后的死亡率和发病率.
- 分析SMI对肺癌患者住院时间 (LOS) 的影响.
主要方法:
- 从STS数据库中对615名肺癌切除患者 (2013-2021) 的回顾性分析.
- 将SMI分为情绪,焦虑和精神病障碍的分层.
- 多变量后勤和Poisson回归用于风险调整的发病率,死亡率和LOS分析.
主要成果:
- 37.1%的患者有并发性SMI,主要是情绪障碍.
- 在患有SMI和没有SMI的患者之间,复合术后死亡率或发病率没有显著差异 (OR=1.36).
- 患有SMI的患者的LOS显著更长 (RR=1.21).
结论:
- 肺癌切除术患者的SMI率很高.
- 并发性SMI不会显著增加术后死亡率或发病率.
- 肺癌切除后,SMI与显著延长的住院时间有关.
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