使用ACS-NSQIP进行大肠切除术后早出院的再接收和采用:是时候广泛采用了吗?
Racquel S Gaetani1, Michael M Jonczyk1, David A Kleiman1
1Department of Colon and Rectal Surgery, Lahey Hospital and Medical Center, Burlington, Massachusetts.
The Journal of surgical research
|April 24, 2025
概括
切除肠道术后的早期出院对于选定的患者来说是安全的,显示出较低的再入院和并发症率. 这种做法越来越多地被采用,但仍然不常见.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 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:
- 科切除术后手术后排放时间进行了辩论.
- 早期出院 (24小时内) 在精选患者中被证明是安全的.
研究的目的:
- 评估选择性切除术后早出院的安全性和趋势.
- 为了比较早期 (<24小时) 和非早期 (≥24小时) 出院组之间的结果.
主要方法:
- 使用ACS-NSQIP数据 (2012-2021) 的回顾性队列研究.
- 包括接受选择性局部切除术的成年患者与初级解剖.
- 倾向性得分匹配用于控制混因子;结果包括30天再录取和并发症率.
主要成果:
- 在282,037名患者中,有2.3%的患者得到了早期出院.
- 早期出院与明显较低的再入院 (5.5%与7.3%相比),静脉泄漏 (1.0%与2.6%相比),阴茎 (2.0%与7.6%相比) 和重新手术 (1.2%与4.0%相比) 相关.
- 提前核准的采用率从0.8% (2012) 增加到3.6% (2021).
结论:
- 在精心挑选的小肠切除术患者中,早期出院不会增加风险.
- 这种做法越来越受欢迎,但仍未得到充分利用.
- 提前出院与改善患者的治疗结果有关.
关键词:
在 ACS NSQIP ACS 中.进行大肠切除术 (colectomy).结肠直肠部分 结肠直肠部分提前释放资金是什么意思选择性集体切除术是一种选择性集体切除术.逗留时间 逗留时间这是NSQIP.再接纳是指重新接纳的人.更多相关视频
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