术后的结果,患者在选择性和急诊性乳房切除术后被送往重症监护室
Murilo Tavares Valverde Filho1, Gabriel Vianna Pereira Aragão1, Igor Lima Vieira de Castro1
1Escola Bahiana de Medicina e Saúde Pública, Department of Gastroenterology - Salvador (BA), Brazil.
概括
在腹部手术后,术后重症监护室 (ICU) 的死亡率低于10%. 死亡的危险因素包括紧急手术,更高的疾病严重程度 (APACHE II) 和并发症 (CCI).
科学领域:
- 手术 手术 手术 术 术
- 密集护理医学 密集护理医学
- 流行病学 流行病学
背景情况:
- 腹部手术带有严重的发病率和死亡率风险,特别是在需要进入重症监护室 (ICU) 的重症患者中.
- 确定影响结果的因素对于改善手术ICU患者护理和资源配置至关重要.
研究的目的:
- 确定在腹部手术后进入外科ICU的大批患者中与不良结果相关的风险因素.
- 分析各种临床和术后变量与住院死亡率之间的相关性.
主要方法:
- 在2016年1月至2022年12月期间,接受手术ICU治疗的1717名患者的回顾性评估.
- 人口,临床和术后数据与住院死亡率的比较.
- 利用查尔森并发症指数 (CCI) 和急性生理和慢性健康评估II (APACHE II) 评分来评估患者的严重程度.
主要成果:
- 整体住院死亡率为9.2% (158名患者).
- 单变量分析显示,年龄,CCI,手术类型 (紧急/紧急与选择性) 和APACHE II评分与死亡率有关.
- 多变量分析确定了CCI,手术类型和APACHE II得分作为死亡率的独立预测指标.
结论:
- 目前在腹部手术后需要ICU支持的住院死亡率低于10%.
- 紧急或紧急的手术,更严重的疾病严重程度 (APACHE II) 和更高的并发症负担 (CCI) 独立地与增加的死亡风险有关.
- 这些发现突出了干预措施的关键领域,以减少这种患者群体的不良结果.
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