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术后步数预测激进食管切除术后的计划外再入院:一项回顾性队列研究
Shin Kondo1, Masakazu Goto2, Takashi Saito3
1Division of Rehabilitation, Tokushima University Hospital, Tokushima, Japan. skondo@tokushima-u.ac.jp.
Annals of surgical oncology
|August 18, 2025
概括
经手术后的体力活动,以每日步数来衡量,与食道切除术后减少计划外再入院有关. 每天达到2500步的目标可以改善患者的康复,并防止再入院.
科学领域:
- 手术瘤学手术瘤学
- 老年学是一门学科.
- 康复医学 康复医学 康复医学
背景情况:
- 消化管切除术后的非计划性再接收增加了成本和死亡率.
- 手术后的体力活动可能会降低再接收风险.
- 评估体育活动对再接收的影响至关重要.
研究的目的:
- 评估术后步数和90天无计划再入院之间的关联.
- 确定一个最佳的步数值来预测再接收风险.
主要方法:
- 对128名经过胸腔食道切除术的患者进行了回顾性队列研究.
- 可穿戴活动追踪器测量出院前最后7天的步数.
- 后勤回归和ROC曲线分析确定了预测因素和最佳切断点.
主要成果:
- 21.1%的患者经历了无计划的再入院.
- 每天更高的步数 (每1000步) 与重新入院风险降低有关 (OR 0.76).
- 最佳预测切线为每天2446步 (AUC0.691).
结论:
- 较低的预排放步数独立地预测了计划外的再接收.
- 每天约2500步的目标可以指导术后康复策略.
- 增加体力活动可能是降低再接收率的关键干预措施.
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