Royal Free London NHS Foundation Trust, UK.
University College London, UK.
Ann R Coll Surg Engl. 2022 Nov;104(9):661-666. doi: 10.1308/rcsann.2021.0247. Epub 2022 Feb 9.
This study aimed to assess the trend of percutaneous and open surgical procedures for peripheral arteriovenous malformations (AVMs) performed in NHS hospitals in England between 2012 and 2018.
Hospital Episode Statistics (HES) is a freely available data warehouse that represents the whole population of England served by the NHS. Data from the HES database was obtained and analysed for all hospital episodes between 2012 and 2018 for the total number and trend of 'primary diagnosis', and 'primary procedures and interventions' identified for peripheral AVMs.
Over the period studied, there was an increase in the total number of admissions for peripheral AVMs; total primary diagnosis increased from 2242 to 2857 per year. Open surgery remained more commonly performed than percutaneous procedures throughout the studied period. However, the overall percentage of primary procedures and interventions being percutaneous in this period increased from 29.8% to 41.0% per year. The increase in the number of percutaneous procedures per year seemed to occur in both children (from 43 to 124) and adults (from 408 to 492) over the course of the study period.
This study concluded that open surgery remained the most commonly performed primary procedure for peripheral AVMs, although there was an increasing trend for percutaneous procedures in NHS hospitals in England. The increase in the number and percentage of percutaneous procedures for peripheral AVMs was likely to have significant resource implications for the provision of care for patients with peripheral AVMs in NHS hospitals.
本研究旨在评估 2012 年至 2018 年期间英格兰国民保健署（NHS）医院中经皮和开放手术治疗外周动静脉畸形（AVM）的趋势。
医院病例统计（HES）是一个免费提供的数据仓库，代表了 NHS 服务的英格兰全体人群。从 HES 数据库中获取了 2012 年至 2018 年期间所有医院病例的数据，并对所有外周 AVM 的“主要诊断”和“主要手术和干预”的数量和趋势进行了分析。
在所研究的期间，外周 AVM 的住院总人数有所增加；每年的总主要诊断从 2242 例增加到 2857 例。在整个研究期间，开放手术的实施仍然比经皮手术更为常见。然而，在此期间，经皮手术作为主要手术和干预的总体比例从 29.8%增加到 41.0%。每年经皮手术数量的增加似乎发生在儿童（从 43 例增加到 124 例）和成人（从 408 例增加到 492 例）。
本研究得出结论，尽管在英格兰 NHS 医院中经皮手术的趋势有所增加，但开放手术仍然是外周 AVM 最常用的主要手术。外周 AVM 经皮手术数量和比例的增加可能对 NHS 医院中外周 AVM 患者的护理提供带来重大资源影响。
