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首页> 外文期刊>Paediatric anaesthesia >Anesthesia‐related and perioperative mortality: An audit of 8493 cases at a tertiary pediatric teaching hospital in South Africa
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Anesthesia‐related and perioperative mortality: An audit of 8493 cases at a tertiary pediatric teaching hospital in South Africa

机译：有关的麻醉相关和围手术期死亡率：南非第三节儿科教学医院的8493例审计

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Summary <section numbered="no" xml:id="pan13214-sec-0001"> <title type="main">Aim >This study aimed to quantify the incidence of anesthesia‐related and perioperative mortality at a large tertiary pediatric hospital in South Africa. </section> <section numbered="no" xml:id="pan13214-sec-0002"> <title type="main">Methods >This study included all children aged 18?years who died prior to discharge from hospital and within 30?days of their last anesthetic at the Red Cross War Memorial Children's Hospital between January 1, 2015 to December 31, 2015. A panel of three senior anesthetists reviewed each death to reach a consensus as to whether: (i) anesthesia caused the death; (ii) anesthesia may have contributed to or influenced the timing of death; or (iii) anesthesia was entirely unrelated to the death. </section> <section numbered="no" xml:id="pan13214-sec-0003"> <title type="main">Results > There were 47 deaths within 30?days of anesthesia prior to discharge from hospital during this 12‐month period. The in‐hospital mortality within 24?h of administration of anesthesia was 16.5 per 10?000 cases (95% confidence intervals [CI]=7.8‐25.1) and within 30?days of administration of anesthesia was 55.3 per 10?000 cases (95% CI=39.5‐71.2). Age under 1?year (OR 4.5; 95% CI=2.5‐8.0, P =.012) and cardiac surgery and interventional cardiology procedures (OR 2.5; 95% CI=1.2‐5.2, P .01) were both independent predictors of increased risk of perioperative mortality. </section> <section numbered="no" xml:id="pan13214-sec-0004"> <title type="main">Conclusion >The overall 24‐h and 30‐day anesthesia‐related and in‐hospital perioperative mortality rates in our study are comparable with other similar studies from tertiary pediatric centers. </section> </abstract> </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> <div class="translation abstracttxt"> <span class="zhankaihshouqi fivelineshidden" id="abstract"> <span>机译：</span><abstract xmlns =“http://www.wiley.com/namespaces/wiley”type =“main”xml：id =“pan13214-abs-0001”> <标题类型=“main”>摘要</ title> <编号为=“否”XML：ID =“PAN13214-SEC-0001”> <标题类型=“MAIN”> AIM </标题> <P>本研究旨在量化麻醉相关和围手术期死亡率的发生率南非的大型三级小儿科医院。</ p> </段> <部分编号=“否”xml：id =“pan13214-sec-0002”> <标题类型=“main”>方法</ title> >本研究包括所有年龄龄的儿童＆ 18岁？在2015年1月1日至2015年12月31日在红十字战争纪念儿童医院释放到医院之前的30岁以上的儿童。一个小组三位高级麻醉师审查了每次死亡，以达成达成共识：（i）麻醉导致死亡; （ii）麻醉可能有助于或影响死亡的时机;或（iii）麻醉与死亡完全无关。</ p> </ section> <secto numbyed =“no”xml：id =“pan13214-sec-0003”> <标题类型=“main”>结果</标题> >在此12个月内从医院排放前30日内有47天麻醉。 24岁以下的医院死亡率为麻醉后16.5例每10例（95％置信区间[CI] = 7.8-25.1），在30时出现麻醉时为55.3天/ 000例（ 95％CI = 39.5-71.2）。年龄在1岁以下的年龄（或4.5; 95％ci = 2.5-8.0， p </ i> = .012）和心脏手术和介入心脏病学程序（或2.5; 95％ci = 1.2-5.2，<i > P </ i>＆ 01）是围手术期死亡率增加的独立预测因子。 </ p> </段> <部分编号=“否”XML：ID =“PAN13214-SEC-0004”> <标题类型=“main”>结论</ title> >整体24-h和30我们研究中与患有相关的和医院内围手术期死亡率与第三级儿科中心的其他类似研究相比。</ p> </段> </摘要> </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> </div> <div class="record"> <h2 class="all_title" id="enpatent33" >著录项</h2> <ul> <li> <span class="lefttit">来源</span> <div style="width: 86%;vertical-align: text-top;display: inline-block;"> <a href='/journal-foreign-29618/'>《Paediatric anaesthesia》</a> <b style="margin: 0 2px;">|</b><span>2017年第10期</span><b style="margin: 0 2px;">|</b><span>共7页</span> </div> </li> <li> <div class="author"> <span class="lefttit">作者</span> <p id="fAuthorthree" class="threelineshidden zhankaihshouqi"> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Meyer Heidi M.&option=202" target="_blank" rel="nofollow">Meyer Heidi M.;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Thomas Jenny&option=202" target="_blank" rel="nofollow">Thomas Jenny;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Wilson Graeme S.&option=202" target="_blank" rel="nofollow">Wilson Graeme S.;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=de Kock Marianna&option=202" target="_blank" rel="nofollow">de Kock Marianna;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Veyckemans Francis&option=202" target="_blank" rel="nofollow">Veyckemans Francis;</a> </p> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zkzz" style="display: none;">展开▼</span> </div> </li> <li> <div style="display: flex;"> <span class="lefttit">作者单位</span> <div style="position: relative;margin-left: 3px;max-width: 639px;"> <div class="threelineshidden zhankaihshouqi" id="fOrgthree"> <p>Department of Anaesthesia and Perioperative MedicineUniversity of Cape TownRondebosch South Africa;</p> <p>Department of Anaesthesia and Perioperative MedicineUniversity of Cape TownRondebosch South Africa;</p> <p>Department of Anaesthesia and Perioperative MedicineUniversity of Cape TownRondebosch South Africa;</p> <p>Department of Anesthesiology and Critical CareTygerberg Academic Hospital and Stellenbosch;</p> </div> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zhdw" style="display: none;">展开▼</span> </div> </div> </li> <li > <span class="lefttit">收录信息</span> <span style="width: 86%;vertical-align: text-top;display: inline-block;"></span> </li> <li> <span class="lefttit">原文格式</span> <span>PDF</span> </li> <li> <span class="lefttit">正文语种</span> <span>eng</span> </li> <li> <span class="lefttit">中图分类</span> <span><a href="https://www.zhangqiaokeyan.com/clc/5997.html" title="麻醉学">麻醉学;</a></span> </li> <li class="antistop"> <span class="lefttit">关键词</span> <p style="width: 86%;vertical-align: text-top;"> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=child&option=203" rel="nofollow">child;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=complications&option=203" rel="nofollow">complications;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=general anesthesia&option=203" rel="nofollow">general anesthesia;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=infant&option=203" rel="nofollow">infant;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=neonate&option=203" rel="nofollow">neonate;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=outcomes&option=203" rel="nofollow">outcomes;</a> </p> <div class="translation"> 机译：儿童;并发症;全身麻醉;婴儿;新生儿;结果; </div> </li> </ul> </div> </div> <div class="literature cardcommon"> <div class="similarity "> <h3 class="all_title" id="enpatent66">相似文献</h3> <div class="similaritytab clearfix"> <ul> <li class="active" >外文文献</li> <li >中文文献</li> <li >专利</li> </ul> </div> <div class="similarity_details"> <ul > <li> <div> <b>1. </b><a class="enjiyixqcontent" href="/journal-foreign-detail/0704024557825.html">Anesthesia‐related and perioperative mortality: An audit of 8493 cases at a tertiary pediatric teaching hospital in South Africa</a> <b>[J]</b> . <span> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Meyer Heidi M.&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">Meyer Heidi M.,</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Thomas 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