结直肠手术后的住院时间：一项关于与延长住院时间相关因素的研究。
Postoperative stay following colorectal surgery: a study of factors associated with prolonged hospital stay.
作者信息
Reddy K M, Meyer C E R, Palazzo F F, Conaghan P, Blunt M C, Stebbings W S L, Leicester R J, Cullen P T
机构信息
Department of Surgery, St George's Hospital, London, UK.
出版信息
Ann R Coll Surg Engl. 2003 Mar;85(2):111-4. doi: 10.1308/003588403321219894.
AIM
To study the factors that contribute to postoperative stay following colorectal surgery.
DESIGN
A prospective observational study.
SETTING
Three colorectal surgical units - a teaching hospital, a large district general hospital and a district general hospital.
PARTICIPANTS
350 patients undergoing colorectal surgery.
MAIN OUTCOME MEASURES
28 pre-, peri- and postoperative patient- and treatment-related factors.
RESULTS
Stepwise regression analysis suggests that the factors that significantly lengthen postoperative stay include a low albumin on admission, stoma formation, operative blood loss, urinary and respiratory complications, wound infections, postoperative ventilation and social delay at the time of discharge. The postoperative stay was not affected by patient age or by the seniority of the surgical team.
CONCLUSIONS
Factors have been identified that determine the postoperative length of stay. These data may allow better planning and treatment of patients undergoing colorectal surgery.
目的
研究结直肠手术后影响术后住院时间的因素。
设计
前瞻性观察性研究。
地点
三个结直肠外科病房——一家教学医院、一家大型地区综合医院和一家地区综合医院。
参与者
350例行结直肠手术的患者。
主要观察指标
28个术前、术中和术后与患者及治疗相关的因素。
结果
逐步回归分析表明，显著延长术后住院时间的因素包括入院时白蛋白水平低、造口形成、术中失血、泌尿及呼吸系统并发症、伤口感染、术后通气以及出院时的社会延迟。术后住院时间不受患者年龄或手术团队资历的影响。
结论
已确定了决定术后住院时间的因素。这些数据可能有助于对行结直肠手术的患者进行更好的规划和治疗。
Zotero 插件