需要家庭氧气治疗的患者的术后死亡率:全国性医院数据库研究
Kotaro Sakurai1,2, Chikashi Takeda1,2, Sachiko Tanaka-Mizuno1,3
1Department of Pharmacoepidemiology, Graduate School of Medicine and Public Health, Kyoto University, Yoshida Konoecho, Sakyoku, Kyoto, 6068501, Japan.
Journal of anesthesia
|June 30, 2025
概括
需要接受手术的家庭氧疗 (HOT) 患者面临着显著的住院 (8.7%) 和30天 (6.4%) 死亡风险. 紧急手术进一步提高了这些术后死亡率,突出了针对性管理策略的需要.
科学领域:
- 医学研究 医学研究
- 外科手术的结果
- 肺部医学 肺部医学
背景情况:
- 对于患有慢性呼吸道疾病的患者来说,家庭氧气疗法 (HOT) 非常重要.
- 需要HOT的手术患者是高风险人群.
- 了解HOT患者的术后死亡率对于改善护理至关重要.
研究的目的:
- 确定需要进行手术的家庭氧疗 (HOT) 患者的住院和30天术后死亡率.
- 为了比较HOT患者和匹配的非HOT队列之间的死亡率.
- 根据HOT指示,手术科和紧急情况,分析子组中的死亡率和并发症率.
主要方法:
- 一项使用全国范围的日本医院数据库 (JMDC Inc.) 的描述性研究.
- 包括18岁或以上的需要HOT的患者,在2014年1月至2022年6月期间接受手术.
- 与匹配的非HOT组进行比较,分析住院和30天死亡率以及并发症.
主要成果:
- 在3349名HOT患者中,住院死亡率为8.7%,30天死亡率为6.4%.
- 术后并发症发生在10.7% (肺) 和6.8% (非呼吸) 的HOT患者中.
- 在HOT患者的紧急手术中,与选择性手术相比,在医院 (17.3%) 和30天 (13.4%) 的死亡率更高.
结论:
- 需要热治疗的患者的术后死亡率很高,住院率为8.7%,30天死亡率为6.4%.
- 紧急手术是该队列中术后死亡率增加的一个重要因素.
- 需要进一步的研究,以确定特定的风险因素,并制定术后策略,以减轻死亡风险.
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