McMahon J, Handley T P B, Bobinskas A, Elsapagh M, Anwar H S, Ricciardo P V, McLaren A, Davis R, Syyed N, MacIver C, Wales C, Hislop W S, Thomson E, Thomson S, Fitzpatrick K, Rae A, Campbell R
NHS Greater Glasgow, Clyde.
NHS Lothian.
Br J Oral Maxillofac Surg. 2017 Oct;55(8):809-814. doi: 10.1016/j.bjoms.2017.07.015. Epub 2017 Aug 12.
To understand and reduce the impact of postoperative complications, we studied 568 patients who had had operations over 72 months in our hospital. Multivariate analysis indicated that factors indicative of coexisting conditions (including activated systemic inflammation) and the complexity of the operation are primary determinants of postoperative complications. The enhanced recovery after surgery (ERAS) care pathway did not have an effect on their occurrence or severity. Systematic study of patients' toleration of major head and neck operations is required, as optimal perioperative care pathways remain elusive.
为了解并降低术后并发症的影响，我们对我院72个月内接受手术的568例患者进行了研究。多变量分析表明，提示并存疾病（包括全身性炎症激活）的因素以及手术的复杂性是术后并发症的主要决定因素。术后加速康复（ERAS）护理路径对并发症的发生或严重程度没有影响。由于最佳围手术期护理路径仍不明确，因此需要对患者对头颈部大手术的耐受性进行系统研究。
