在英格兰的一天病例和住院选择性甲状腺叶切除术:实践和安全差异的观察性研究
Michael Monaghan1,2, William K Gray1, Mark Cheetham1,3
1Getting It Right First Time Programme, NHS England, London, UK.
The British journal of surgery
|February 25, 2026
概括
日间甲状腺叶切除术对于低风险患者来说是安全的,显示出较低的再入院率. 这种选择性手术方法在甲状腺手术中越来越常见和可行.
科学领域:
- 手术成果研究的研究结果.
- 医疗服务研究 医疗服务研究
背景情况:
- 白天病例选择性手术是医疗保健中日益增长的趋势.
- 甲状腺叶切除术是一种手术手术,在英国,每日病例数量较低.
研究的目的:
- 为了调查白天病例甲状腺叶切除术的安全性和结果.
- 评估增加每日病例甲状腺叶切除率的可行性.
主要方法:
- 医院病例分析统计行政数据 (2017-2024年).
- 包括英格兰所有成年人首次选择性甲状腺叶切除术.
- 主要结局:30天紧急再入院;次要结局:因并发症/出血而重新入院. 根据患者的人口统计和脆弱性进行调整.
主要成果:
- 分析了超过41,000项手术;9.9%是白天病例.
- 一日病例手术显示,30天紧急再入院率明显较低 (OR 0.73).
- 没有证据表明,与非常低的比率 (<1%) 相比,有较高的一日病例率 (>30%) 的信托公司的结果更差.
结论:
- 日间甲状腺叶切除术是低风险患者的安全选择.
- 这些发现支持扩大白天甲状腺叶切除手术服务.
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