前列腺癌前列腺切除术后同日出院和再入院
Christopher P Dall1,2, Xiu Liu1, Sarah J Leick1
1Department of Urology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Cancer medicine
|February 13, 2026
概括
在前列腺切除术后,同一天的分泌物显著增加. 虽然它使再入院率翻了一番,但整体不良事件仍然相似,这表明仔细的患者选择是这种做法的关键.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗保健服务研究 医疗服务研究
- 在瘤学瘤学.
背景情况:
- 激进前列腺切除术后的当天泄漏越来越常见,之前的研究表明可以节省成本,并且不增加不良事件.
- 在专业中心以外的同日出院结果的国家数据有限.
- 这项研究评估了前列腺切除术后的30天再入院,观察停留和急诊室访问.
研究的目的:
- 评估同日出院与第二天出院对前列腺切除术后患者结果的全国影响.
- 分析出院时间与30天再入院和急性护理事件之间的关联.
主要方法:
- 利用国家医疗保险数据从2016-2021年,识别前列腺癌前列腺切除术的患者.
- 包括在同一天或手术后的第二天出院的患者,假设无事件的术后过程.
- 采用多变量逻辑回归来分析出院日和30天结果之间的关系,调整患者因素.
主要成果:
- 该队列包括528名当天出院者和11,513名第二天出院者;到2021年,当天出院率上升至9.2%.
- 同一天出院与30天再入院几率增加近两倍有关 (aOR:1.93;p<0.01).
- 然而,30天内任何急性护理事件 (再入院,观察或ED访问) 的综合结果显示,两组之间没有显著差异 (aOR:1.16;p=0.27).
结论:
- 在前列腺切除术后的同一天排泄量在全国范围内大幅增加.
- 这种做法与30天再入院的几率明显增加有关.
- 尽管再入院几率增加,但急性护理事件的总体发生率相似,这表明在仔细选择患者的情况下,安全实施的潜力.
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