早期术后康复对机器人辅助根治性前列腺切除术后住院时间的影响。
Effect of Early Postoperative Rehabilitation on Length of Hospital Stay after Robot-assisted Radical Prostatectomy.
作者信息
Higuchi Shuto, Matsugaki Ryutaro, Tomisaki Ikko, Fushimi Kiyohide, Matsuda Shinya, Saeki Satoru
机构信息
Department of Rehabilitation Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
Department of Rehabilitation Center, University of Occupational and Environmental Health, Kitakyushu, Japan.
出版信息
Prog Rehabil Med. 2023 Aug 2;8:20230023. doi: 10.2490/prm.20230023. eCollection 2023.
OBJECTIVES
: This study assessed how early postoperative rehabilitation interventions affected the duration of hospital stay in patients with prostate cancer who had radical prostatectomy with robotic assistance.
METHODS
: From the Japanese Diagnosis Procedure Combination database, we extracted case data for patients discharged between April 2014 and March 2020. Patients were recognized by code C61 from the International Classification of Diseases, 10th Edition. We ran a multilevel linear regression analysis to investigate the impact of early rehabilitation on the duration of hospital stay.
RESULTS
: There were 2151 participants in the trial. In patients with prostate cancer who had resection utilizing robotic-assisted devices, early rehabilitation was related to a substantial decrease in duration of hospital stay (coefficient, -0.86; 95% CI, -1.64 to -0.07; P=0.032).
CONCLUSIONS
: Early postoperative rehabilitation may contribute to shorter hospital stays in patients with prostate cancer at high risk of both postoperative complications and a decline in their ability to perform activities of daily living.
目的
本研究评估了术后早期康复干预对接受机器人辅助根治性前列腺切除术的前列腺癌患者住院时间的影响。
方法
从日本诊断程序组合数据库中，我们提取了2014年4月至2020年3月期间出院患者的病例数据。患者通过国际疾病分类第10版的代码C61识别。我们进行了多水平线性回归分析，以研究早期康复对住院时间的影响。
结果
该试验有2151名参与者。在使用机器人辅助设备进行切除的前列腺癌患者中，早期康复与住院时间的显著缩短有关（系数，-0.86；95%CI，-1.64至-0.07；P=0.032）。
结论
术后早期康复可能有助于缩短同时具有术后并发症高风险和日常生活活动能力下降风险的前列腺癌患者的住院时间。
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