检索结果-南通市图书馆

Factors associated with failure of enhanced recovery after surgery program in patients undergoing pancreaticoduodenectomy

引用

Hepatobiliary & Pancreatic Diseases International 2020年第1期19卷 51-57页

作者： Xiao-Yu Zhang Xiao-Zhen Zhang Fang-Yan Lu Qi Zhang Wei Chen Tao Ma Xue-Li Bai Ting-Bo Liang Department of Hepatobiliary and Pancreatic Surgery the First Affiliated HospitalZhejiang University School of MedicineHangzhou 310003China Department of Hepatobiliary and Pancreatic Surgery the Second Affliated HospitalZhejiang University School of MedicineHangzhou 310009China Key Laboratory of Pancreatic Disease of Zhejiang Province Hangzhou 310003China

Background: The enhanced recovery after surgery (eras) protocol is an evidence-based perioperative care program aimed at reducing surgical stress response and accelerating recovery. However, a small propor- tion of patients fail to bene t from the eras program following pancreaticoduodenectomy. This study aimed to identify the risk factors associated with failure of eras program in pancreaticoduodenectomy. Methods: Between May 2014 and December 2017, 176 patients were managed with eras program fol-lowing pancreaticoduodenectomy. eras failure was indicated by prolonged hospital stay, unplanned read- mission or unplanned reoperation. Demographics, postoperative recovery and compliance were compared of those eras failure groups to the eras success group. Results: eras failure occurred in 59 patients, 33 of whom had prolonged hospital stay, 18 were readmitted to hospital within 30 days after discharge, and 8 accepted reoperation. Preoperative American Society of Anesthesiologists (ASA) score of ≥III (OR = 2.736;95% CI: 1.276 6.939;P=0.028) and albumin (ALB) level of 70 years) were on a high risk of unplanned reoperation (62.5% vs. 23.1%, P=0.026). Patients with prolonged hospital stay and unplanned reoperation had delayed intake and increased intolerance of oral foods. Prolonged stay patients got off bed later than eras success patients did (65h vs. 46h, P =0.012). Unplanned reoperation patients tended to experience severer pain than eras success patients did (3 score vs. 2 score, P =0.035). Conclusions: Patients with high ASA score, low ALB level or age >70 years were at high risk of eras failure in pancreaticoduodenectomy. These preoperative demographic and clinical characteristics are important determinants to obtain successful postoperative recovery in eras program.

关键词： Enhanced recovery after surgery eras Pancreaticoduodenectomy failure of eras Risk factors

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：