腺切除术作为白天手术:可行性和结果
Giuseppe Musella1, Andrea Luigi Ambrosoli1, Alessia Palluotto2
1ASST Sette Laghi, Department of Anesthesiology Del Ponte, Varese, Italy.
概括
在儿童中,白天手术腺切除术是安全的,有2.3%的无计划入院率. 影响入院的关键因素包括手术结束时间,持续时间和外科医生的经验.
科学领域:
- 儿科手术 儿科手术
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 作为白天手术的腺切除术通常是安全和经济的.
- 偶尔会因为长期护理需求而入院过夜.
- 调查意外入院率对于优化日间手术方案至关重要.
研究的目的:
- 为了确定儿童手术腺切除术后一天的非计划入院率.
- 为了确定与儿科腺切除术后的意外入院相关的因素.
主要方法:
- 在三级医疗中心对3396例儿科腺切除术 (2010-2023) 的回顾性分析.
- 纳入标准:年龄大于2岁,ASA分数I-II.
- 评估因素:年龄,性别,手术持续时间,外科医生经验,不良事件,多次手术;单变量,多变量分析,ROC曲线.
主要成果:
- 非计划入学率为2.3%.
- 手术后恶心/吐是最常见的并发症;呼吸道问题很低.
- 多变量分析确定了手术结束时间 (p < 0.001),手术持续时间 (p = 0.001) 和外科医生经验 (p < 0.001) 作为无计划入院的重要因素.
结论:
- 作为白天手术的腺切除术是安全的,并且在第三级环境中是可行的.
- 该研究表明,意外入院率低,并罕见出现严重并发症.
- 建议进行进一步的研究,以验证在不同环境和人群中发现的结果.
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