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评估紧急整体手术的30天再入院:它们是可以预防的吗?
Halen Turner1, Danielle Wilson1, Alexandra Johnson1
1Medical College of Wisconsin, Department of Surgery, 8701 W Watertown Plank Rd Milwaukee, WI, 53226, USA.
American journal of surgery
|August 24, 2025
概括
由于最初的诊断进展,大多数紧急整体外科 (EGS) 的再入院是不可避免的. 只有很小一部分非计划的再入院是可以预防的,这表明对这一患者群体的干预机会有限.
科学领域:
- 一般外科
- 患者的结果
- 医疗保健的质量
背景情况:
- 紧急一般手术 (EGS) 患者的患病率和死亡率高于选择性手术患者.
- 无计划的再入院影响了大约15%的EGS入院.
- 这些重新入境的可预防性尚未得到充分了解.
研究的目的:
- 确定可预防的紧急整体外科 (EGS) 患者的30天再入院的百分比.
- 确定导致可预防的EGS再录取的因素.
主要方法:
- 进行了一项单一中心的回顾性研究.
- 分析了2021-2023年EGS入院和30天再入院的数据.
- 可预防的再入院是由可操作的门诊干预措施所定义的.
主要成果:
- 在1655名EGS患者中,224名 (14. 1%) 患者在30天内重新入院.
- 重新入院的主要原因是进一步管理最初的诊断 (38.4%).
- 只有11例 (4. 9%) 患者被认为是可以预防的,通常是由于疼痛控制或患者教育不足.
结论:
- 大多数EGS再入院是由于最初的诊断或并发症的自然进展.
- 这些发现表明,大量的EGS再录取可能是不可避免的.
- 针对可预防的再接收的有针对性的干预措施可能对整体再接收率产生有限的影响.
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