急诊再次手术的危险因素。
Risk factors of emergency reoperations.
作者信息
Kim Tae Kwan, Yoon Jun Rho, Choi Yu Na, Park Ui Jin, Kim Kyoung Rim, Kim Taehee
机构信息
Department of Anesthesiology and Pain Medicine, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea.
出版信息
Anesth Pain Med (Seoul). 2020 Apr 30;15(2):233-240. doi: 10.17085/apm.2020.15.2.233. Epub 2020 Apr 29.
BACKGROUND
Emergency reoperation is considered to be a quality indicator in surgery. We analyzed the risk factors for emergency reoperations.
METHODS
Patients who underwent emergency operations from January 1, 2017, to December 31, 2017, at our hospital were reviewed in this retrospective study. Multivariate logistic regression was performed for the perioperative risk factors for emergency reoperation.
RESULTS
A total of 1,481 patients underwent emergency operations during the study period. Among them, 79 patients received emergency reoperations. The variables related to emergency reoperation included surgeries involving intracranial and intraoral lesions, highest mean arterial pressure ≥ 110 mmHg, highest heart rate ≥ 100 beats/min, anemia, duration of operation >120 min, and arrival from the intensive care unit (ICU).
CONCLUSIONS
The type of surgery, hemodynamics, hemoglobin values, the duration of surgery, and arrival from ICU were associated with emergency reoperations.
背景
急诊再次手术被视为外科手术中的一项质量指标。我们分析了急诊再次手术的风险因素。
方法
在这项回顾性研究中，我们对2017年1月1日至2017年12月31日在我院接受急诊手术的患者进行了评估。对急诊再次手术的围手术期风险因素进行了多因素逻辑回归分析。
结果
在研究期间，共有1481例患者接受了急诊手术。其中，79例患者接受了急诊再次手术。与急诊再次手术相关的变量包括涉及颅内和口腔内病变的手术、最高平均动脉压≥110 mmHg、最高心率≥100次/分钟、贫血、手术时间>120分钟以及从重症监护病房（ICU）转入。
结论
手术类型、血流动力学、血红蛋白值、手术时间以及从ICU转入与急诊再次手术有关。
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