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[使用Karbase的四年经验。血管外科质量发展的一种工具]

[4 years of experiences with Karbase. A tool for quality development in vascular surgery].

作者信息

Jensen L P, Schroeder T V, Lorentzen J E, Madsen P V

机构信息

Karkirurgisk afdeling, Rigshospitalet, København.

出版信息

Ugeskr Laeger. 1994 Nov 21;156(47):7032-5.

PMID:7817410
Abstract

Karbase, a Danish register for vascular surgery is presented with data from four years experience. The register consists of 65 variables centered on risk factors, the perioperative course as well as follow-up information. During the four-year period 1989-1992 a total of 4902 admissions were registered in 3810 patients. Surgery was performed during 4005 admissions. Output data from Karbase is presented with results on survival and postoperative complications, related to preoperative risk factors. The incidence of surgical wound infections was 3.9%, with a significant reduction during the years (p = 0.004). Karbase is now used by all vascular surgical units in Denmark. We conclude that the establishment of a continuous registration has been beneficial to the department. We have achieved valid data on treatment, outcome and complications in relation to individual risk factors. In the future the use of Karbase will be extended with the aim of further quality development, locally as well as nation wide.

摘要

介绍了丹麦血管外科登记系统Karbase四年的经验数据。该登记系统包含65个变量,主要围绕危险因素、围手术期过程以及随访信息。在1989年至1992年的四年期间,共登记了3810例患者的4902次入院情况。其中4005次入院进行了手术。呈现了Karbase的输出数据,包括与术前危险因素相关的生存结果和术后并发症。手术伤口感染的发生率为3.9%,这些年有显著下降(p = 0.004)。丹麦所有血管外科单位现在都使用Karbase。我们得出结论,建立连续登记对该科室有益。我们获得了与个体危险因素相关的治疗、结果和并发症的有效数据。未来,将扩大Karbase的使用范围,以进一步在地方和全国范围内提升质量。

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