二十年的儿科血管外科咨询和干预在高等学术中心的三级学术中心
Tatiana K Jenkins1, Gergana Alteva1, Ali B Alshawi1
1Division of Vascular and Endovascular Surgery. Department of Surgery. Oregon Health & Science University. Portland, OR, USA.
Journal of vascular surgery
|January 10, 2026
概括
儿科血管外科手术涉及不同的病例,大多数咨询不需要手术. 虽然干预措施显示出良好的结果,但长期护理和向成人服务过渡需要改进.
科学领域:
- 儿科血管外科 儿科血管外科
- 学术卫生系统学术卫生系统
- 纵向结果 纵向结果
背景情况:
- 儿科血管外科手术的特点是罕见,异质的病例缺乏标准化的护理模式.
- 了解儿科血管外科手术的全部范围对于改善患者的治疗结果至关重要.
研究的目的:
- 描述儿科血管外科咨询,干预,多学科参与和长期结果.
- 分析一个集成的学术卫生系统内20年的经验.
主要方法:
- 从2004年到2024年对儿科患者 (<18岁) 的回顾性队列研究.
- 从电子健康记录中提取的数据,包括人口统计,咨询和干预 (动脉,大动脉,静脉).
- 用于分析发现的描述性统计数据.
主要成果:
- 评估了342名儿科患者;37.7%接受了血管干预.
- 动脉干预最常见 (n=81),其次是静脉干预 (n=37) 和主动脉干预 (n=10).
- 随访时间中位数为4.6年;32.9%的患者转入成人护理.
结论:
- 儿科血管外科手术是一种高急性实践,具有出色的操作安全性.
- 在纵向监测和过渡到成人护理方面存在重大差距.
- 结构化的护理途径和过渡策略是终身成果所必需的.
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