血管外科审计——下肢缺血的动脉重建术和截肢术

Vascular surgical audit-arterial reconstructions and amputations for lower limb ischaemia.

作者信息

Thomas W E, Byfield D M, Ring N P, Sheard S C, Stephenson R N, Baird R N

出版信息

Acta Chir Scand. 1983;149(2):127-32.

Abstract

There were 750 arterial reconstructions and 2134 major amputations in hospitals within the South West Regional Health Authority (SWRHA) from 1974-1978, according to a Hospital Activity Analysis (HAA) based survey of all patients undergoing these operations for atherosclerotic limb ischaemia. Those undergoing arterial reconstruction fared better than amputees in terms of hospital mortality (5.2% vs. 21%) and length of hospital stay (21.4 days vs. 47 days). Comparison of the HAA results with case records and operating theatre books at Bristol Royal Infirmary showed a failure-of-inclusion rate of 10% for arterial reconstructions and 9.3% for amputations. There was a difference in the proportion of arterial reconstructions to major amputations (2.5:1) at Bristol Royal Infirmary compared with SWRHA hospitals (1:3), but hospital stay and operative mortality were similar.

摘要

根据一项基于医院活动分析（HAA）对所有因肢体动脉硬化性缺血接受这些手术的患者进行的调查，1974年至1978年期间，西南地区卫生局（SWRHA）下属医院进行了750例动脉重建手术和2134例大截肢手术。在医院死亡率（5.2%对21%）和住院时间（21.4天对47天）方面，接受动脉重建手术的患者比截肢患者情况更好。将HAA结果与布里斯托尔皇家医院的病例记录和手术室登记簿进行比较，结果显示动脉重建手术的漏报率为10%，截肢手术的漏报率为9.3%。与SWRHA医院（1:3）相比，布里斯托尔皇家医院的动脉重建手术与大截肢手术的比例存在差异（2.5:1），但住院时间和手术死亡率相似。