手术专业对鼻整形术术后并发症的影响
Sree Chinta1, Keshav D Kumar1, Dhiraj Sibala1
1Department of Otolaryngology-Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA.
概括
这项研究发现,与耳鼻喉 (ENT) 外科医生相比,进行鼻整形的整形外科医生患术后败血症的几率更高. 鼻整形专业影响患者安全结果.
科学领域:
- 整形外科 整形外科 整形外科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 外科手术的结果
背景情况:
- 鼻腔整形术是一种常见的整形手术,由耳鼻喉科医生 (ENT) 和整形外科医生进行.
- 外科专业对鼻整形结果的影响,特别是并发症,需要进一步调查.
研究的目的:
- 为了研究手术专业和术后并发症之间的关系,在鼻整形患者.
- 为了确定整形外科医生或耳鼻外科医生是否在进行鼻整形后有更高的不良事件发生率.
主要方法:
- 对国家外科质量改善计划数据库 (2005-2020年) 的回顾性审查.
- 对2127名接受鼻整形手术的患者进行分析,比较耳鼻科医生和整形外科专家之间的结果.
- 单变量和多变量分析以评估专业和并发症 (包括败血症) 之间的关系.
主要成果:
- 由整形外科医生手术的患者患术后败血症的几率明显更高 (OR: 23.716,P=.012).
- 耳鼻瘤患者更有可能是男性,具有更高的ASA分类,吸烟者,并且有更长的手术时间.
- 在单变量分析中,在ENT组中观察到更低的败血症发病率.
结论:
- 外科专业独立地与鼻整形手术中的30天术后败血症风险有关.
- 这一发现表明,外科培训和专业化可能会影响患者的安全性和鼻整形手术的结果.
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