...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Vascular and endovascular surgery >Factors related to short length of stay after carotid endarterectomy.
【24h】

Factors related to short length of stay after carotid endarterectomy.

机译：与颈动脉内膜切除术后短住院时间有关的因素。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

In the past decade, expected in-hospital length of stay (LOS) after carotid endarterectomy (CEA) has decreased from 4 days to 1. Long LOS is associated with known complications and factors affecting severity of the patient's condition. Factors affecting an intermediate stay of 2 to 4 days need further clarification. The vascular registry at Jobst Vascular Center includes data on manifestation of disease; cardiovascular history; operation and discharge dates; surgeon; surgical details such as patching, shunting, and completion arteriography; and complications. Univariate chi-square and ANOVA and multivariate logistic regression were applied to analyze 635 CEAs performed in 1998, 1999, and 2000. Statistical significance was at a p value less than 0.05 (two-sided). Overall morbidity rate was 8.2% with three (0.5%) in-hospital neurologic complications and one death for a 0.16% mortality rate. Fifty-eight percent of the patients were discharged in 1 day. Patients staying 1 day were 3 years younger. Female gender and prior cerebrovascular accident were factors extending LOS to 2 and 3 days. History of angina, heart failure, valve disease, and vein patch or no patch contributed to LOS of 3 or 4 days. Completion arteriography had an association with LOS of 2 days. The relative percentage of patients with complications increased with LOS. No significant relationship was found for symptoms, smoking, myocardial infarction, atrial fibrillation, cardiac revascularization, or surgeon. Insulin-treated diabetes mellitus, cardiac risk factors, cerebrovascular accident, and vein patch or no patch correlated with prolonged hospitalization. Factors were identified that may alter a clinical pathway designed for discharge 1 day after CEA. Focused management of patients with cardiac and cerebrovascular accident history or requiring vein patch and a better understanding of CEA in women may further increase the percentage of patients discharged 1 day after CEA.
机译：在过去的十年中，颈动脉内膜切除术（CEA）后的预期住院时间（LOS）从4天减少到1天。长期LOS与已知的并发症和影响患者病情严重程度的因素有关。影响2到4天中间停留的因素需要进一步阐明。 Jobst血管中心的血管登记处包括疾病表现的数据;心血管病史运行和排放日期;外科医生手术细节，例如修补，分流和完成动脉造影;和并发症。应用单变量卡方和ANOVA以及多元logistic回归分析在1998年，1999年和2000年进行的635个CEA。统计学意义p值小于0.05（双面）。总体发病率为8.2％，其中三例（0.5％）发生院内神经系统并发症，其中一例死亡，死亡率为0.16％。 58％的患者在1天内出院。停留1天的患者年轻3岁。女性性别和先前的脑血管意外是将LOS延长至2天和3天的因素。心绞痛，心力衰竭，瓣膜疾病和静脉斑块或无斑块的病史可导致3或4天的LOS。完成动脉造影与2天的LOS相关。有LOS的并发症患者的相对百分比增加。症状，吸烟，心肌梗塞，心房颤动，心脏血运重建或外科医生均无明显关系。胰岛素治疗的糖尿病，心脏危险因素，脑血管意外，静脉斑块或无斑块与长期住院相关。确定了可能改变CEA术后1天出院的临床途径的因素。对有心脑血管意外病史或需要静脉修补的患者进行集中管理，并更好地了解女性对CEA的了解可能会进一步增加CEA术后1天出院的患者百分比。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号