Đánh giá kết quả điều trị của những bệnh nhân có nguy cơ tử vong cao so với nguy cơ tử vong không cao theo thang điểm SORT năm 2023 tại Bệnh viện Đại học Y Hà Nội=Evaluation of the treatment outcomes of patients at high risk of mortality compared to low risk of mortality according to the SORT at Hanoi Medical University Hospital

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Hoàng Hải Nguyễn, Lương Bằng Nguyễn, Hoàng Phương Vũ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Nghiên cứu y học (Đại học Y Hà Nội), 2024

Mô tả vật lý: tr.52-58

Bộ sưu tập: Metadata

ID: 244809

Thêm vào giỏ

Chúng tôi tiến hành nghiên cứu nhằm đánh giá kết quả điều trị sau phẫu thuật lớn ở những bệnh nhân có nguy cơ tử vong cao theo thang điểm SORT (Surgical Outcome Risk Tool). Phương pháp nghiên cứu mô tả, tiến cứu trên 243 bệnh nhân sau phẫu thuật tại khoa Gây mê hồi sức và chống đau - Bệnh viện Đại học Y Hà Nội, từ tháng 3/2023 đến tháng 8/2023, đánh giá tỷ lệ tử vong, tỷ lệ mắc các biến chứng sau mổ, tỷ lệ bệnh nhân nằm hồi sức sau mổ, thời gian nằm viện, thời gian nằm hồi sức của nhóm bệnh nhân có nguy cơ tử vong cao theo thang điểm SORT. Kết quả nghiên cứu cho thấy nhóm bệnh nhân có nguy cơ tử vong cao theo thang điểm SORT (SORT ≥ 4%) có tỷ lệ tử vong 25%, cao hơn so với cả quần thể nghiên cứu
tỷ lệ mắc biến chứng sau mổ như viêm phổi (47,7%), suy hô hấp (52,3%), ARDS (20,5%) và chảy máu sau phẫu thuật (52,3%) tương ứng cao hơn so với cả quần thể nghiên cứu
thời gian nằm hồi sức trung bình là 6,5 ngày, dài hơn so với cả quần thể nghiên cứu.We performed this study to evaluate the treatment outcomes of patients suffering from major surgery at high risk of mortality according to the SORT (Surgical Outcome Risk Tool). The study menthod was prospective, descriptive study performed in 243 post-surgical patients at the Department of Anesthesia, Resuscitation and Pain Management, Hanoi Medical University Hospital from March 2023 to August 2023, for the purposes of evaluating the mortality rate, the incidence of postoperative complications, the rate of patients in intensive care unit after surgery, the length of hospital stay, the length of stay in intensive care unit of patients at high risk of mortality according to the SORT. The study results showed that patients at high risk of mortality according to the SORT (SORT ≥ 4%) had a 25% mortality rate, higher than the overall patient population
the incidence of postoperative complications such as pneumonia (47.7%), respiratory failure (52.3%), ARDS (20.5%), and postoperative bleeding (52.3%) were correspondingly higher than in the overall study population
the average ICU stay for high risk patients was 6.5 days, longer than the overall patient population.

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