甲状腺切除术和甲状旁腺切除术术后主要并发症的风险：NSQIP 手术风险计算器的实用性。
Risk of major complications following thyroidectomy and parathyroidectomy: Utility of the NSQIP surgical risk calculator.
机构信息
Department of Surgery, St. Paul's Hospital & University of British Columbia, Vancouver, BC, Canada.
Department of Surgery, St. Paul's Hospital & University of British Columbia, Vancouver, BC, Canada.
出版信息
Am J Surg. 2018 May;215(5):936-941. doi: 10.1016/j.amjsurg.2018.01.006. Epub 2018 Jan 16.
BACKGROUND
The primary objective of this study was to determine rates of reoperation, ED visits, and hospital readmission after thyroid and parathyroid surgery at a tertiary hospital. A secondary objective was to determine if scores from the American College of Surgeons Surgical Risk Calculator (ACS SRC) predicted these events.
METHODS
We retrospectively reviewed the records of patients undergoing parathyroid and thyroid surgery between 2011 and 2014. Patients who underwent an unplanned reoperation, returned to the ED, or were readmitted to hospital were evaluated using the ACS SRC.
RESULTS
436 patients underwent thyroid and parathyroid operations. Rates of re-operations, ED visits and hospital readmissions after thyroid and parathyroid surgery were: 3.4%, 0.6% and 3.0% and 2.2%, 0% and 1.4%, respectively. 71% of patients who experienced post-operative complications scored below average on the ACS SRC, 17% scored above average and 12% scored average risk.
CONCLUSIONS
The SRC did not predict re-operation, ED visits, or hospital readmission after thyroid or parathyroid operations.
背景
本研究的主要目的是确定在一家三级医院进行甲状腺和甲状旁腺手术后再次手术、急诊就诊和住院再入院的发生率。次要目的是确定美国外科医师学院手术风险计算器（ACS SRC）的评分是否可以预测这些事件。
方法
我们回顾性分析了 2011 年至 2014 年间接受甲状旁腺和甲状腺手术的患者的记录。使用 ACS SRC 评估计划外再次手术、返回急诊室或再次住院的患者。
结果
436 例患者接受了甲状腺和甲状旁腺手术。甲状腺和甲状旁腺手术后再次手术、急诊就诊和住院的发生率分别为：3.4%、0.6%和 3.0%和 2.2%、0%和 1.4%。71%的术后并发症患者在 ACS SRC 评分低于平均水平，17%的患者评分高于平均水平，12%的患者评分平均风险。
结论
SRC 不能预测甲状腺或甲状旁腺手术后的再次手术、急诊就诊或住院再入院。
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