脊椎病大肠切除术后术后术后结果的年龄相关差异:国家外科质量改善计划研究
Spyridon Papadimatos1, Itzel Elizabeth Vidal Sanchez1, Alexander A Xu1
1Division of Colorectal Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
由于分泌管疾病而接受小肠切除术的年轻人面临着类似的术后风险,但严重并发症的几率更高. 这凸显了患者和医生之间需要谨慎的共同决策的需要.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 手术结果研究研究.
- 椎病流行病学 椎病流行病学
背景情况:
- 发 diverticular 疾病的发病率在年轻人群中正在上升.
- 胆管切除术是复杂的管疾病的常见治疗方法.
- 了解与年龄相关的术后风险至关重要.
研究的目的:
- 为了评估患者年龄和术后结果之间的关联,经过分泌管疾病的切除术.
- 为了比较50岁以下的患者和50岁或以上的患者之间的结果.
- 为了确定主要腹内并发症的预测因素.
主要方法:
- 美国外科医生学院国家外科质量改进计划 (ACS-NSQIP) 数据库 (2016-2020) 的回顾性分析.
- 包括成年患者 (≥18岁) 接受了因分泌管疾病而进行集体切除术.
- 多变量后勤回归用于评估主要腹腔内并发症 (解剖管泄漏或手术部位感染) 的预测因素.
主要成果:
- 分析了39729名患者的队列.
- 年轻的患者 (<50岁) 的体质量指数和吸烟率较高,但女性患者较少.
- 年龄小于50岁是主要腹内并发症的独立预测因素 (OR 1.14).
结论:
- 由于分泌管疾病而接受小肠切除术的年轻患者面临着相似的整体术后风险,但患有严重腹内并发症的风险增加.
- 这些发现支持患者和医生共享的知情决策.
- 年龄是预测分泌管疾病的切除术结果的一个重要因素.
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