对术后恢复质量和食道切除术后的结果进行了基于组的轨迹分析
Feng Yin1, Lan-Tao Li2, Xie Wang3
1Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, China.
International journal of surgery (London, England)
|May 19, 2025
概括
在食道切除术后,有四种不同的恢复质量 (QoR) 轨迹被确定. 手术前的营养风险,较低的QoR-15分数,更长的手术和更高的疼痛预测恢复不良.
科学领域:
- 手术瘤学手术瘤学
- 患者研究成果研究结果
- 提高质量 提高质量
背景情况:
- 消化管切除术指南旨在改善术后恢复质量 (QoR).
- 患者报告的结果 (PROs) 对于评估QoR至关重要.
- 消化管切除术后的QoR轨迹和预测因素仍然没有表征.
研究的目的:
- 为了描述患者报告的食道切除术后的QoR轨迹.
- 为了确定与糟糕的QoR轨迹相关的预测因素.
主要方法:
- 多中心,前性,观察性研究.
- 206名患者接受食道切除术.
- 用于QoR分析的基于组的轨迹建模.
主要成果:
- 确定了四种不同的QoR轨迹:差 (18.4%),差至中等 (40.3%),中等至好 (24.8%),以及好 (16.5%).
- 低QOR的预测因素:手术前营养风险 (OR 1.13),手术前QOR-15较低 (OR 0.75),手术时间较长 (OR 1.02),手术后咳疼痛较高 (OR 1.22).
结论:
- 在食道切除术后,有四种不同的术后QOR轨迹.
- 手术前营养状况,基线QoR,手术持续时间和切口疼痛是不良恢复的关键预测因素.
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