Mortality and morbidity associated with ophthalmic surgery.

Mortality and morbidity associated with ophthalmic surgery.
复制标题

与眼科手术相关的死亡率和发病率。

DOI:
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发表时间:
1995
期刊:
Ophthalmic surgery and lasers
影响因子:
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通讯作者:
B. Mukesh
B. Mukesh
中科院分区:
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文献类型:
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作者:
S. Badrinath;S. Bhaskaran;I. Sundararaj;B. Rao;B. Mukesh

文献摘要

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背景和目标 目的探讨局麻和全麻下眼科手术的并发症和死亡率。 材料和方法 回顾性分析了1979年至1988年在印度马德拉斯Sankara Nethralaya接受眼科手术的所有患者。相关详细信息包括患者的术前医学状态(阿萨状态)、外科手术类型、麻醉类型以及术中和术后并发症。 结果 总死亡率为1.15%.。死亡率从第一个五年期的2.09%.下降到第二个五年期的0.37%.。与死亡率显著相关的因素是高血压、心脏起搏器的存在、肾脏疾病、手术持续时间、手术类型和身体状况(美国麻醉医师协会分类)。 结论 识别危险因素有助于降低眼科手术的死亡率。
BACKGROUND AND OBJECTIVES To study the mortality and morbidity among the patients undergoing ophthalmic surgery under local or general anesthesia. MATERIALS AND METHODS A retrospective analysis of all patients who underwent ophthalmic surgery at Sankara Nethralaya, Madras, India, between 1979 and 1988, was performed. Relevant details included the preoperative medical status of the patients (ASA status), type of surgical procedure, type of anesthesia, and intraoperative and postoperative complications. RESULTS The overall mortality rate was 1.15 per 1000. There was a decrease in the mortality rate from 2.09 per 1000 in the first 5-year period to 0.37 per 1000 in the second 5-year period. The factors significantly associated with mortality were hypertension, presence of cardiac pacemaker, renal disease, duration of surgery, type of surgery, and physical status (American Society of Anaesthesiologists classification). CONCLUSION Identifying the risk factors can help reduce the mortality in ophthalmic surgery.