耳鼻喉科手术后感染的危险因素:ACS-NSQIP分析
Matthew Y Liu1, Dylan Z Erwin1, Melis N Bayrak1
1Department of Otolaryngology, Head and Neck Surgery, University of Texas Health San Antonio, San Antonio, TX, USA.
The Annals of otology, rhinology, and laryngology
|December 16, 2025
概括
困难闭膜炎感染 (CDI) 在0.12%的耳鼻喉外科手术中发生. 高龄和更长的操作时间是这种严重并发症的关键风险因素.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 传染病流行病学 传染病流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 困难闭膜炎感染 (CDI) 是一个重要的医疗相关并发症.
- 耳鼻喉外科手术包括各种风险不同的程序.
- 了解这种手术患者群体中CDI发生率和风险因素对于患者安全至关重要.
研究的目的:
- 为了确定耳鼻喉外科手术后CDI的发生率.
- 为了确定与术后CDI相关的术前风险因素.
- 为预防策略提供信息,并降低患者的发病率和医疗保健成本.
主要方法:
- 使用美国外科医生学院国家外科质量改进计划 (ACS-NSQIP) 数据库 (2016-2021) 的回顾性队列研究.
- 对149,960次耳鼻喉外科手术的分析.
- 两变和多重物流回归分析以确定风险因素.
主要成果:
- 手术后CDI的总发病率为0.12% (每10,000个患者日有8.8例).
- 头部和部重建手术的CDI病例数量最高.
- 重要风险因素包括年龄较大,运行时间较长和功能状况较差.
结论:
- 耳鼻科手术后的CDI是一种严重而昂贵的并发症,其发病率与全国平均水平相当.
- 识别术前风险因素,如年龄和手术时间,对于有针对性的预防至关重要.
- 积极管理已识别的风险因素可以降低CDI发病率,发病率和医疗保健支出.
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