巴西北部一家医院手术后意外再入院:前瞻性队列

P. P. S. Pereira, Josimeire Cantanhêde de Deus, Laís Xavier de Araújo, Valéria Moreira da Silva, Carla Vanessa Suaris Meireles, Marcela Miranda Sanches Rosa
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引用次数: 0

摘要

目的:分析巴西北部某大医院手术后意外再入院情况及其危险因素。方法:前瞻性队列,数据收集自医疗记录和床边。在Stata®v.16.0中使用泊松回归进行描述性、双变量和多元分析。结果:486例患者中再入院率为1.47%。再入院率为68 / 1000例(95%CI: 47.10;93.85)。在校正分析中,危险因素不为白色(RR: 2.06;95%可信区间1.13;3.75),在手术中使用种植体(RR: 2.00;95%置信区间:1.05;3.81)和泌尿外科/肾脏专科的程序(RR: 3.17;95%CI: 1.59-6.31)和妇科(RR: 2.18;95%置信区间:1.06—-4.49)。结论:该地区再入院率高于其他地区。人口统计学特征和手术方式是影响结果的危险因素。
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Unplanned readmissions after surgery in a hospital in northern Brazil: prospective cohort
Objective: to analyze unplanned readmissions after surgical procedures and their risk factors in a large hospital in Northern Brazil. Method: prospective cohort, with data collected from medical records and at the bedside. Descriptive, bivariate and multiple analysis were performed using Poisson regression in Stata® v.16.0. Results: of the total of 486 patients, 1.47% were readmitted. The incidence of readmissions was 68 per 1,000 procedures (95%CI: 47.10; 93.85). In the adjusted analysis, the risk factors were not being white (RR: 2.06; 95%CI 1.13; 3.75), using implants in surgery (RR: 2.00; 95%CI: 1.05; 3.81) and procedures of the urology/renal specialties (RR: 3.17; 95%CI: 1.59-6.31) and gynecology (RR: 2.18; 95%CI: 1.06-4.49). Conclusion: the incidence of readmissions in this region is higher than in other regions. Demographic characteristics and type of surgical procedure were risk factors for the outcome.
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