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在广泛的外科患者群体中,患者旅行时间和术后并发症之间的关联
Haaris Kadri1, Christina M Stuart1, Michael R Bronsert2
1Surgical Outcomes and Applied Research Program, Department of Surgery, University of Colorado School of Medicine, Aurora, Colorado.
The Journal of surgical research
|June 6, 2025
概括
长时间前往手术的旅行时间与稍高的术后发病率和更长的住院时间有关. 这些并发症的适度增加仍然会给患者及其家人带来负担.
科学领域:
- 手术结果研究研究.
- 医疗保健服务研究 医疗服务研究
- 患者旅行的影响力.
背景情况:
- 对手术患者来说,适当的手术前,手术内和手术后护理至关重要.
- 患者的旅行距离可能会影响获得的护理质量,可能会影响手术结果.
- 了解旅行时间对术后并发症的影响对于优化患者护理途径至关重要.
研究的目的:
- 调查患者长时间的旅行时间与术后并发症的发生率之间的联系.
- 分析旅行距离是否会影响不同患者群体的外科手术结果.
主要方法:
- 对美国外科医生学院国家外科质量改进计划数据 (2012-2018) 的回顾性分析.
- 使用谷歌地图计算患者驾驶时间到手术中心的计算.
- 使用后勤回归,控制手术前变量,对当地 (≤1小时) 和远程 (>1小时) 旅行队伍之间的结果进行比较.
主要成果:
- 远程旅行队列 (18.0%) 的患者年龄较大,并患有更多的并发病,并且在美国麻醉学会 (American Society of Anesthesiologists) 级别上更高.
- 未经调整的分析显示,远距离旅行者的总体发病率,感染率和逗留时间较长的比例较高.
- 经风险调整后的分析显示,在长时间旅行的患者中,总体发病率,需要输血的出血并发症和停留时间显著增加.
结论:
- 较长的患者旅行距离与术后发病率,出血并发症和停留时间的适度增加有关.
- 虽然这些增加的临床影响在统计学上显著,但需要仔细考虑患者支持和资源配置.
- 这些发现凸显了患者和家属在进行手术后长途旅行后管理护理的潜在挑战.
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