Nunoo-Mensah Joseph William, Rosen Michael, Chan Linday S, Wasserberg Nir, Beart Robert W
Department of Colon and Rectal Surgery, University of Southern California, Los Angeles, CA, USA.
South Med J. 2009 Jan;102(1):25-9. doi: 10.1097/SMJ.0b013e318182575b.
The lifetime risk of intra-abdominal surgery is unknown. The objectives of this study were to derive this information from our local population, and to consider the role of incidental surgery.
Over an 8-year period, 2648 autopsy and clinical records from a public and private hospital were reviewed for evidence of intra-abdominal surgery.
2262 (85%) cases were from the public hospital and 386 (15%) from the private hospital. The adjusted intra-abdominal surgical rate was 43.8% in those over the age of 60. With the exception of the age group 21-40, there were no statistical significant differences in operative rates between hospitals. The intra-abdominal surgical rate over the age of 60 was used as an estimate of the lifetime risk of intra-abdominal surgery.
The lifetime risk of intra-abdominal surgery can be used to assess the utilization of healthcare among ethnic groups and in considering the role of incidental surgery.
腹腔内手术的终身风险尚不清楚。本研究的目的是从我们当地人群中获取这一信息，并探讨意外手术的作用。
在8年的时间里，对一家公立和私立医院的2648份尸检和临床记录进行了回顾，以寻找腹腔内手术的证据。
2262例（85%）来自公立医院，386例（15%）来自私立医院。60岁以上人群的调整后腹腔内手术率为43.8%。除了21-40岁年龄组外，各医院之间的手术率没有统计学上的显著差异。60岁以上人群的腹腔内手术率被用作腹腔内手术终身风险的估计值。
腹腔内手术的终身风险可用于评估不同种族人群的医疗保健利用情况，并考虑意外手术的作用。
