手术开始时间与肺切除后的主要发病率或死亡率之间的关联
Arsalan A Khan1, Savan K Shah1, Oluwamuyiwa W Adebayo2
1Department of Cardiovascular and Thoracic Surgery, Rush University Medical Center, Chicago, Illinois.
The Annals of thoracic surgery
|May 30, 2025
概括
这项研究发现,肺癌手术的开始时间和患者的结果之间没有联系. 较晚的手术开始时间没有增加肺切除后的重大发病率或死亡率.
科学领域:
- 胸部外科手术 胸部外科手术
- 手术瘤学手术瘤学
- 患者研究成果研究结果
背景情况:
- 肺切除是针对非小细胞肺癌进行的.
- 手术开始时间是影响手术结果的潜在因素.
- 评估这种关联对于优化患者护理至关重要.
研究的目的:
- 调查肺切除手术时间与患者发病率和死亡率之间的关系.
- 确定较早的运营启动时间是否与更好的结果有关.
主要方法:
- 对胸部外科医生协会一般胸部外科数据库 (2015-2023) 的分析.
- 包括为非小细胞肺癌进行叶叶或叶叶下切除的患者.
- 排除特定的患者群体和操作因素;使用倾向匹配.
- 基于四个操作性开始时间截止 (8点,12点,下午3点,下午6点) 的结果比较.
主要成果:
- 包括115,020名患者;88%接受了微创手术 (MIS).
- 总体死亡率为0.8%,主要发病率为6.4%.
- 在MIS或开放手术队伍中,较晚的手术开始时间和主要的发病率或死亡率之间没有发现显著的关联.
结论:
- 手术开始时间似乎不是肺切除后主要发病率或死亡率的重要预测因素.
- 目前的研究结果表明,当天的手术时间不会影响重大不良事件.
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