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[Effect of time of operation and clinic organization on postoperative complications].

作者信息

Grundmann R, Szillat U

机构信息

Chirurgische Universitätsklinik Köln-Lindenthal.

出版信息

Langenbecks Arch Chir. 1989;374(2):84-91. doi: 10.1007/BF01261615.

DOI:10.1007/BF01261615
PMID:2704286
Abstract

During a 1-year period 1082 general surgical interventions were prospectively documented and their complication rates evaluated by a score system. Factors responsible for the complication rates and possibly depending on hospital organization should be analysed. The complication rates were influenced by the selection of the weekday, the length of operation time and the extent of discrepancy between planned and required operation time. Furthermore, the complication rates paralleled the extent of utilization of the operation theatre during a workday. The complication rates were not affected by the beginning of operation and the operation month as well as the monthly utilization of the operation theatres. Whether the weather did influence the complication rates could not be decided: higher complication rates were found in the summer as compared to the winter period, but the complication score was independent of the level of the outside temperature and humidity.

摘要

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引用本文的文献

1
[Etiology and consequences of postoperative wound infection].[术后伤口感染的病因及后果]
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本文引用的文献

1
The epidemiology of wound infection. A 10-year prospective study of 62,939 wounds.伤口感染的流行病学。对62939例伤口进行的10年前瞻性研究。
Surg Clin North Am. 1980 Feb;60(1):27-40. doi: 10.1016/s0039-6109(16)42031-1.
2
[Wound infection and complication rate after general surgical procedures. A prospective analysis].
Chirurg. 1981 Sep;52(9):570-6.
3
[Hospital-acquired infections in a university health centre: prospective analysis of 39 802 patients (author's transl)].大学健康中心的医院获得性感染:对39802例患者的前瞻性分析(作者译)
Dtsch Med Wochenschr. 1981 Jan 23;106(4):101-5. doi: 10.1055/s-2008-1070266.
4
Surgical wound infections. A 5-year prospective study of 20,193 wounds at the Minneapolis VA Medical Center.手术伤口感染。对明尼阿波利斯退伍军人事务医疗中心的20193处伤口进行的为期5年的前瞻性研究。
Ann Surg. 1984 Mar;199(3):253-9. doi: 10.1097/00000658-198403000-00001.
5
Decision-making process in abdominal surgery in the geriatric patient.老年患者腹部手术的决策过程
World J Surg. 1983 Jul;7(4):522-6. doi: 10.1007/BF01655944.
6
Effectiveness of a surgical wound surveillance program.一项手术伤口监测计划的有效性。
Arch Surg. 1983 Mar;118(3):303-7. doi: 10.1001/archsurg.1983.01390030035006.
7
A five-year prospective study of 23,649 surgical wounds.一项针对23649例手术伤口的为期五年的前瞻性研究。
Arch Surg. 1973 Aug;107(2):206-10. doi: 10.1001/archsurg.1973.01350200078018.
8
[Decrease in nosocomial infection based on continuous monitoring and control. 7 years' experience in a women's clinic].基于持续监测与控制的医院感染减少。一家妇科诊所的7年经验
Dtsch Med Wochenschr. 1985 Dec 13;110(50):1930-5. doi: 10.1055/s-2008-1069115.
9
[Experiences with 2 years of quality control following general and vascular surgery in 3193 patients].[3193例患者普通外科和血管外科手术后两年的质量控制经验]
Chirurg. 1985 Sep;56(9):573-8.
10
[Quality assurance in surgery by prospective assessment of the risk of complications by a simple point score].
Langenbecks Arch Chir. 1987;371(1):3-12. doi: 10.1007/BF01259239.