紧急腹部手术后与健康有关的生活质量
Vladimir Sergeevich Gordeev1, Esubalew Assefa1, Rupert Pearse2
1Health Economics and Policy Research Unit, Wolfson Institute of Population Health, Queen Mary University of London, Yvonne Carter Building, 58 Turner Street, London, E1 2AB, UK.
World journal of emergency surgery : WJES
|September 2, 2025
概括
经过紧急腹部手术后的生活质量 (QoL) 随着时间的推移显著改善. 患者和手术因素影响了QOL,为治疗价值评估提供了信息.
科学领域:
- 手术结果研究
- 以患者为中心的护理
- 医疗服务研究
背景情况:
- 评估治疗价值需要了解患者的生存率和生活质量 (QoL).
- 在紧急腹部手术后的QOL轨迹和决定因素的证据有限.
研究的目的:
- 在紧急腹部手术后总结QOL轨迹.
- 确定QOL的关键决定因素,包括患者人口统计,临床特征和手术后的时间.
主要方法:
- 使用了高风险患者增强术前护理研究的数据.
- 在8个月的随访期间使用EQ-5D-3L问卷测量QOL.
- 采用多变量回归模型来分析QOL的决定因素.
主要成果:
- 在幸存者中,QOL效用得分从手术后不久的0. 21提高到中长期的0. 74 (38个月).
- 患者的性别和手术前死亡风险是早期QOL的关键决定因素.
- 手术前的因素 (时间,性别,并发症,ASA状态,手术指标) 和手术后的因素 (住院时间) 预测了长期的QOL.
结论:
- 个体患者,手术和康复特征显著影响紧急腹部手术后的 QoL.
- 这些发现可以指导临床医生与患者的讨论以及对外科手术价值的评估.
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