在结肠外科手术中未能救援
J J Rubio-García1, F Mauri Barberá2, C Villodre Tudela1
1Hospital General Universitario de Alicante, Servicio de Cirugía General y Aparato Digestivo, Spain; Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL), Spain.
Journal of healthcare quality research
|April 6, 2025
概括
结直肠手术后的救助失败 (FTR),定义为重大并发症后的死亡,发生在15.7%的患者中. 晚年,静脉漏和败血症是导致FTR的关键因素.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 手术结果研究研究.
- 患者安全指标 患者安全指标
背景情况:
- 结直肠手术后的主要并发症 (MC) 对患者的生存构成重大风险.
- 失败救援 (FTR) 量化了中心管理MC的能力,通过经历并发症的患者死亡率来衡量.
研究的目的:
- 分析结肠癌大肠切除术后救助失败率 (FTR).
- 在接受结直肠手术的患者中确定与FTR相关的独立因素.
主要方法:
- 对564名接受预定结肠癌手术的患者的回顾性分析 (2012年9月 - 2016年8月).
- 主要并发症 (MC) 定义为Clavien-Dindo分数> II.
- 对于患有MC的患者来说,FTR定义为手术后90天内死亡.
主要成果:
- 140名患者 (24.8%) 经历了MC,其中22人死亡,FTR率为15.7%.
- 不幸存者年龄较大,ASA III/IV和静脉漏的发生率较高.
- 独立预测FTR的预测因素包括晚年,静脉漏和非腹部败血症.
结论:
- 本系列的FTR率与现有文献相比较.
- 年龄,静脉泄漏和败血症是与FTR相关的重要独立因素.
- 在结直肠外科手术中心,FTR作为评估和改善重大并发症管理的有价值指标.
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