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外科患者术后晚期并发症:综合评价。

Late postoperative complications in surgical patients: an integrative review.

机构信息

Universidade de São Paulo. Ribeirão Preto, São Paulo, Brazil.

Universidade NOVA de Lisboa, Instituto de Higiene e Medicina Tropical, Global Health and Tropical Medicine. Lisboa, Portugal.

出版信息

Rev Bras Enferm. 2020 Jul 1;73(5):e20190290. doi: 10.1590/0034-7167-2019-0290. eCollection 2020.

DOI:10.1590/0034-7167-2019-0290
PMID:32609217
Abstract

OBJECTIVE

to identify the main complications in the late postoperative period of surgical patients.

METHOD

an integrative review from the CINAHL, LILACS, Science direct, Web of Science, SCOPUS, Europe PMC, and MEDLINE databases. Descriptors and keywords were combined without language or time restriction.

RESULTS

ten primary studies were included. Infectious complications were the most common, especially surgical site infection, pneumonia and urinary tract infection. The presence of complications was linked to increased mortality, need for reoperations and worse survival. Few studies report on monitoring frequency, follow-up time and/or when complications started to be observed.

CONCLUSION

infectious complications were the most prevalent postoperatively. The scarcity of guidelines that guide the monitoring of complications regarding monitoring frequency, follow-up time and classification makes it difficult to establish an overview of them and consequently propose intervention strategies.

摘要

目的

确定手术患者术后晚期的主要并发症。

方法

对 CINAHL、LILACS、Science direct、Web of Science、SCOPUS、Europe PMC 和 MEDLINE 数据库进行综合回顾。不限制语言和时间,对描述词和关键词进行组合。

结果

共纳入 10 项原始研究。感染性并发症最为常见,尤其是手术部位感染、肺炎和尿路感染。并发症的存在与死亡率增加、需要再次手术和生存质量下降有关。少数研究报告了监测频率、随访时间和/或何时开始观察并发症。

结论

感染性并发症是术后最常见的并发症。缺乏指导并发症监测的指南,包括监测频率、随访时间和分类,这使得难以全面了解并发症,并因此提出干预策略。

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Late postoperative complications in surgical patients: an integrative review.外科患者术后晚期并发症:综合评价。
Rev Bras Enferm. 2020 Jul 1;73(5):e20190290. doi: 10.1590/0034-7167-2019-0290. eCollection 2020.
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