术中麻醉医师交接对肝胆胰 (HPB) 手术术后并发症的影响。

IF 2 3区医学 Q3 ONCOLOGY Journal of Surgical Oncology Pub Date : 2024-10-10 DOI:10.1002/jso.27941

Juan Jose Guerra-Londono, Sydney Pham, Neal Bhutiani, Laura Prakash, Lei Feng, Ching-Wei D Tzeng, Juan P Cata, Jose M Soliz

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引用次数: 0

摘要

背景：本研究旨在评估术中麻醉团队交接与高血压脑病手术后 90 天主要并发症增加之间可能存在的关联：本研究旨在评估人乳头瘤病毒手术后术中麻醉小组交接与 90 天主要并发症增加之间可能存在的关联：这是一项针对接受 HPB 手术患者的单中心回顾性队列研究。麻醉医师交接（AH）发生在将护理工作完全移交给接收的麻醉医师时，麻醉团队总交接（TH）发生在麻醉医师和监督提供者同时移交护理工作时。主要结果是 90 天主要并发症，即 ACCORDION 评分≥ 3：35 名 TH 患者（21.6%）和 96 名 AH 患者（21.9%）出现了 90 天主要并发症。在调整了其他协变量后，AH（OR，1.358，95% CI，0.935-1.973，p = 0.1079）或 TH（OR，1.157，95% CI，0.706-1.894，p = 0.5633）与 90 天主要并发症之间未发现明显关联：结论：在一个高容量 HPB 中心，麻醉团队的交接与 HPB 手术后 90 天内患者发生主要并发症的风险增加无关。

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The Impact of Intraoperative Anesthesiology Provider Handovers on Postoperative Complications After Hepatopancreatobiliary (HPB) Surgery.

Background: The objective of this study is to assess the possible association between intraoperative anesthesia team handovers and increased 90-day major complications following HPB surgery.

Methods: This is a single-center retrospective cohort study of patients who underwent HPB surgery. Anesthesiologist handover (AH) occurred when a complete transfer of care to a receiving anesthesiologist. total anesthesia team handovers (TH) occurred when both anesthesiologist and supervised provider transferred care. The primary outcome was 90-day major complications, defined as an ACCORDION score of ≥ 3.

Results: Ninety-day major complications occurred in 35 (21.6%) of TH and 96 (21.9%) of AH patients. With adjustment of other covariates, no significant association was found between AH (OR, 1.358, 95% CI, 0.935-1.973, p = 0.1079) or TH (OR, 1.157, 95% CI, 0.706-1.894, p = 0.5633) and 90-day major complications.

Conclusions: In a high-volume HPB center, anesthesia team handovers were not associated with an increased risk of patients having a major complication within 90 days after HPB surgery.

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来源期刊

Journal of Surgical Oncology 医学-外科

CiteScore

4.70

自引率

4.00%

发文量

367

审稿时长

2 months

期刊介绍： The Journal of Surgical Oncology offers peer-reviewed, original papers in the field of surgical oncology and broadly related surgical sciences, including reports on experimental and laboratory studies. As an international journal, the editors encourage participation from leading surgeons around the world. The JSO is the representative journal for the World Federation of Surgical Oncology Societies. Publishing 16 issues in 2 volumes each year, the journal accepts Research Articles, in-depth Reviews of timely interest, Letters to the Editor, and invited Editorials. Guest Editors from the JSO Editorial Board oversee multiple special Seminars issues each year. These Seminars include multifaceted Reviews on a particular topic or current issue in surgical oncology, which are invited from experts in the field.