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走向尾切除术的门诊:在疫情期间学到的教训
Rebeca González Peredo1, Víctor Jacinto Ovejero Gómez2, Patrizio Petrone3
1Servicio de Urgencias, Hospital Sierrallana, Torrelavega, Cantabria, Spain.
COVID-19封锁没有对尾炎的结果产生负面影响,减少了住院时间,并为急性尾炎的门诊治疗铺平了道路.
科学领域:
- 手术 手术 手术
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 急性尾炎是全球常见的手术紧急情况.
- 随着COVID-19大流行,人们开始调查其对尾炎诊断,治疗和管理的影响,包括门诊护理.
- 这项研究检查了COVID-19紧急状态 (SOE) 期间的尾炎病例.
研究的目的:
- 在COVID-19期间治疗的急性尾炎病例的特征 SOE.
- 评估将尾炎治疗纳入门诊手术计划的可行性.
- 评估COVID-19封锁对尾炎管理和结果的影响.
主要方法:
- 在公立医院对尾疾病患者 (K35-K38) 的回顾性观察研究.
- 收集和分析社会人口统计和临床数据.
- 多变量分析以确定封锁对关键变量的影响.
主要成果:
- 分析了201名患者;在SOE期间78名,在SOE前123名.
- 随着年龄的增长,尾炎并发症的风险增加 (OR 1.015,p=0.000).
- 更长的手术时间显著增加了术后并发症风险 (OR 7.265,p=0.000).
- 在封锁期间,住院时间显著减少 (p=0.017).
结论:
- COVID-19封锁没有对复杂急性尾炎的发病率或死亡率产生不利影响.
- 在封锁期间减少住院时间支持门诊性尾炎治疗的潜力.
- 研究结果表明,尾炎的治疗可以适应门诊外科手术的设置.
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