急性阑尾炎腹腔镜阑尾切除术后的患者报告结局
Patient reported outcomes after laparoscopic appendectomy for acute appendicitis.
作者信息
Hougaard Emilie Schultz, Møller Lasse Kaalby, Kristensen Signe A Rønde, Høyer Mai Elizabeth, Ellebaek Mark Bremholm, Al-Najami Issam
机构信息
Department of Surgery, Odense University Hospital, Odense, Denmark.
Research Unit of Surgery, Odense University Hospital, Odense, Denmark.
出版信息
Langenbecks Arch Surg. 2024 Dec 24;410(1):15. doi: 10.1007/s00423-024-03584-6.
PURPOSE
The purpose of this study is to establish more evidence to provide the clinicians with a greater knowledge on the patient reported outcomes and quality of life (QoL) after laparoscopic appendectomy (LA).
METHOD
105 patients who had undergone LA for acute appendicitis regardless of severity, were included prospectively at Odense University Hospital, Svendborg. The patient reported consequence of surgery were assessed through the validated electronic survey from European-QoL questionnaire (5Q-5D-5L) including a self-reported VAS-score (0-100). The first survey was sent out the first day after surgery and the subsequent surveys at 7, 30 and 90 days. The replies was converted into an index-score expressing the QoL from 0 (death) to 1 (full health).
RESULTS
All patients experienced pain/discomfort at day 1. At day 7, 30 and 90 it was 95%, 45% and 25%, respectively. The median index-score at day 1, 7, 30 and 90 was 0.778, 0.840, 0.984 and 1.00, respectively.
目的
本研究的目的是建立更多证据，以便为临床医生提供关于腹腔镜阑尾切除术后患者报告结局和生活质量（QoL）的更多知识。
方法
前瞻性纳入欧登塞大学医院斯文堡分院105例因急性阑尾炎接受腹腔镜阑尾切除术的患者，无论病情严重程度如何。通过经过验证的欧洲生活质量调查问卷（5Q-5D-5L）的电子调查评估患者报告的手术后果，包括自我报告的视觉模拟评分（0-100）。第一次调查在术后第一天发出，随后在第7、30和90天进行调查。回复被转换为一个指数评分，用以表示生活质量，范围从0（死亡）到1（完全健康）。
结果
所有患者在术后第1天均经历疼痛/不适。在第7、30和90天，经历疼痛/不适的患者比例分别为95%、45%和25%。在第1、7、30和90天的中位指数评分分别为0.778、0.840、0.984和1.00。
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