门诊外周血管成形术的安全性。
Safety of outpatient peripheral angioplasty.
作者信息
Struk D W, Rankin R N, Eliasziw M, Vellet A D
机构信息
Department of Diagnostic Radiology, University Hospital, University of Western Ontario, London, Canada.
出版信息
Radiology. 1993 Oct;189(1):193-6. doi: 10.1148/radiology.189.1.8372192.
PURPOSE
The safety of performing peripheral percutaneous angioplasty on an outpatient basis was studied.
MATERIALS AND METHODS
A retrospective cohort study was conducted of all peripheral angioplastic procedures performed at one institution during a 4-year period. The 350 procedures in 235 patients included 84 inpatient cases, 141 outpatient cases, and 125 1-day-care cases (ie, procedures performed in patients transferred from other hospitals).
RESULTS
The rates of major complications were 8.3% +/- 3.0 (mean +/- standard error) (n = 7) for inpatients. 5.0% +/- 1.8 (n = 7) for outpatients, and 5.6% +/- 2.1 (n = 7) for 1-day-care patients. Furthermore, 95% confidence intervals for the difference between complication rates were -10.3% and 3.5% for outpatient versus inpatient cases and -9.9% and 4.4% for 1-day-care versus inpatient cases.
CONCLUSION
The risk of a major complication resulting from peripheral angioplasty in appropriately selected outpatients is no greater than it is for patients admitted for overnight observation.
目的
研究门诊进行外周经皮血管成形术的安全性。
材料与方法
对某机构在4年期间进行的所有外周血管成形术进行回顾性队列研究。235例患者的350例手术包括84例住院病例、141例门诊病例和125例一日护理病例（即对从其他医院转来的患者进行的手术）。
结果
住院患者的主要并发症发生率为8.3%±3.0（均值±标准误）（n = 7）；门诊患者为5.0%±1.8（n = 7）；一日护理患者为5.6%±2.1（n = 7）。此外，门诊与住院病例并发症发生率差异的95%置信区间为-10.3%至3.5%，一日护理与住院病例为-9.9%至4.4%。
结论
在适当选择的门诊患者中，外周血管成形术导致主要并发症的风险不高于留院观察患者。
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