Status Analysis of Unplanned Reoperation in Cardiac Surgery Department of a Provincial Grade A Tertiary General Hospital
- VernacularTitle:某三甲综合医院心脏外科非计划再手术现状分析
- Author:
Mingjuan XIA
1
,
2
;
Kun LI
;
Ying LIAN
;
Rucai ZHAN
;
Yanfei SU
;
Lingchen KONG
;
Min XU
Author Information
1. 山东第一医科大学第二附属医院 山东泰安 271000
2. 山东第一医科大学公共卫生与健康管理学院 山东济南 250117
- Keywords:
unplanned reoperation;
cardiac surgery;
grade A tertiary general hospital
- From:
Chinese Hospital Management
2024;44(2):67-71
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the current situation of unplanned reoperation in cardiac surgery and to discuss the management measures of unplanned reoperation.Methods The information of patients undergoing cardiac surgery in a class A tertiary comprehensive hospital during 2018-2022 was collected to analyze the incidence of unplanned reoperation,major ca uses,disease types,surgica l moda lities and Complications.Results A tota l of 3902 patients underwent surgery,of whom 73(1.87%)underwent unplanned reoperation.The main cause of unplanned reoperation was bleeding(50%).The disease types with the highest unplanned reoperation composition ratio were coronary heart disease(38.4%),and the disease types with the highest incidence were dilated cardiomyopathy(11.1%).The average hospitalization cost,the average length of hospitalization,mortality rate and medical dispute rate of patients who had unplanned reoperation were significantly higher than those who did not have unplanned reoperation,the difference was statistically significant(P=0.001).Conclusion The hospital should strengthen the perioperative management of cardiac surgery,focus on supervising disease types and surgical modalities with high incidence of unplanned reoperation,and strictly implement the system of operation classification and the system of reporting unplanned reoperation to ensure the quality of patient surgery.
