[基于瑞典围手术期登记的胆囊切除术麻醉技术和 30 天死亡率回顾]。

Lakartidningen Pub Date : 2024-03-25
Johanna Ly, Johanna Albert, Jan Jakobsson
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引用次数: 0

摘要

瑞典围手术期登记处(SPOR)为监测围手术期和早期术后过程提供了一个独特的机会。它既可用于个体诊所的质量监控,也可用于流行病学研究。将 SPOR 的数据与特定器官登记相结合,可以更全面地了解外科手术的整体围手术期和早期术后护理及结果。在我们的示例中,我们介绍了瑞典胆囊手术的预期患者情况。吸入麻醉是最主要的麻醉技术,但全凭静脉麻醉(TIVA)的使用呈上升趋势。就早期并发症而言,各种技术之间的差异很小,恢复时间仅有 8 分钟的差异。在瑞典,胆囊切除术的死亡率很低,只有 0.02% 的患者在 24 小时内死亡,30 天的死亡率为 0.13%。正如预期的那样,年龄越大、ASA 分级越高,30 天内死亡的风险就越大。此外,在提高 LÖF 安全手术清单的使用率方面也有明显的改进空间。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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[Review of anesthetic technique and 30-day mortality for cholecystectomies based on the Swedish Perioperative Registry].

The Swedish Perioperative Registry (SPOR) offers a unique opportunity for monitoring the peri- and early postoperative processes. It can be utilized for quality monitoring within individual clinics or for epidemiological studies. Combining SPOR's data with organ-specific registries provides a more comprehensive understanding of the overall peri- and early postoperative care and outcomes of surgical procedures. In our example, we present the expected patient profile for gall bladder surgery in Sweden. Inhalation anesthesia is the dominant technique, but Total Intravenous Anesthesia (TIVA) is showing an increasing trend in usage. There are minimal differences between the techniques in terms of early complications, with a mere 8-minute variation in recovery time. The mortality rate for cholecystectomy in Sweden is reassuringly low, with 0.02% of patients passing away within 24 hours and a 30-day mortality rate of 0.13%. As expected, advancing age and higher ASA class increase the risk of mortality within 30 days. Additionally, there is a clear area for improvement identified in increasing the utilization of LÖF's Safe Surgery Checklist.

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来源期刊
Lakartidningen
Lakartidningen Medicine-Medicine (all)
CiteScore
0.30
自引率
0.00%
发文量
134
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