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在重大交易后保留的外国机构:趋势,风险因素和相关结果
Barzin Badiee1, Saad Mallick1, Konmal Ali1
1Center for Advanced Surgical and Interventional Technology (CASIT), David Geffen School of Medicine at UCLA, Los Angeles, CA.
Surgery
|July 1, 2025
概括
手术后留存的异物正在减少,但仍在发生. 风险因素包括特定的手术和医院位置,导致并发症和更高的成本.
科学领域:
- 医学研究 医学研究
- 外科手术的安全性
- 医疗信息学 医疗信息学
背景情况:
- 留存的异物 (RFB) 是一种罕见的手术并发症,具有显著的不良事件和成本.
- 有限的当代国家数据存在于RFB趋势,风险因素和结果.
研究的目的:
- 分析保留外体发生的全国趋势.
- 为了确定与留存的外体相关的风险因素和患者结果.
主要方法:
- 利用2018-2022年全国住院患者样本进行分析.
- 包括住院治疗主要的心脏,胃肠道,生殖尿道,神经外科,骨科,胸部和血管手术.
- 采用多变量回归来评估与风险因素和结果的关联.
主要成果:
- 在26,333,269例外科住院病例中,发现了4 570例 (0.017%) 留存异物.
- 观察到RFB的发病率从1/5,400个病例减少到1/6,000个病例 (2018-2022).
- 与心脏手术相比,胃肠道,胸腔,血管和多腔手术显示RFB的几率增加. 小床位医院和美国西部地区与RFB的几率分别降低和增加有关. RFB与更高的并发症风险,更长的停留时间和更高的成本相关.
结论:
- 尽管发病率正在下降,但留住的异物仍然令人担忧.
- 标准化的安全协议和技术进步对于预防至关重要.
- 实现零发病率需要持续专注和创新.
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