Ioannidis Orestis, Anestiadou Elissavet, Ramirez Jose M, Fabbri Nicolò, Ubieto Javier Martínez, Feo Carlo Vittorio, Pesce Antonio, Rosetzka Kristyna, Arroyo Antonio, Kocián Petr, Sánchez-Guillén Luis, Bellosta Ana Pascual, Whitley Adam, Enguita Alejandro Bona, Teresa-Fernandéz Marta, Bitsianis Stefanos, Symeonidis Savvas
Fourth Department of Surgery, Medical School, Faculty of Health Sciences, Aristotle University of Thessaloniki, General Hospital "George Papanikolaou", 57010 Thessaloniki, Greece.
Institute for Health Research Aragón, 50009 Zaragoza, Spain.
J Clin Med. 2024 Nov 18;13(22):6943. doi: 10.3390/jcm13226943.
Acute appendicitis (AA) is one of the most common causes of emergency department visits due to acute abdominal pain, with a lifetime risk of 7-8%. Managing AA presents significant challenges, particularly among vulnerable patient groups, due to its association with substantial morbidity and mortality. : The EUPEMEN (European PErioperative MEdical Networking) project aims to optimize perioperative care for AA by developing multidisciplinary guidelines that integrate theoretical knowledge and clinical expertise from five European countries. This study presents the key elements of the EUPEMEN protocol, which focuses on reducing surgical stress, optimizing perioperative care, and enhancing postoperative recovery. : Through this standardized approach, the protocol aims to lower postoperative morbidity and mortality, shorten hospital stays, and improve overall patient outcomes. The recommendations are tailored to address the variability in clinical practice across Europe and are designed to be widely implementable in diverse healthcare settings. : The conclusions drawn from this study highlight the potential for the EUPEMEN protocol to significantly improve perioperative care standards for AA, demonstrating its value as a practical, adaptable tool for clinicians.
急性阑尾炎（AA）是因急性腹痛前往急诊科就诊的最常见原因之一，终生患病风险为7%-8%。由于AA与较高的发病率和死亡率相关，对其进行管理面临重大挑战，在弱势群体中尤为如此。欧洲围手术期医学网络（EUPEMEN）项目旨在通过制定多学科指南来优化AA的围手术期护理，该指南整合了来自五个欧洲国家的理论知识和临床专业知识。本研究介绍了EUPEMEN方案的关键要素，该方案侧重于减轻手术应激、优化围手术期护理并促进术后恢复。通过这种标准化方法，该方案旨在降低术后发病率和死亡率，缩短住院时间，并改善患者总体预后。这些建议是为解决欧洲临床实践中的差异而量身定制的，旨在广泛应用于各种医疗环境。本研究得出的结论凸显了EUPEMEN方案显著提高AA围手术期护理标准的潜力，证明了其作为临床医生实用、可适应工具的价值。
