Retrospective Analysis of Unplanned Secondary Surgery in Stomatological Hospital
Objective To explore the characteristics and influencing factors of unplanned secondary surgery in stomatological hospital.Methods The information of all patients with secondary surgery in Peking University School and Hospital of Stomatology from 2016 to 2021 was selected,and the diseases and causes of unplanned secondary surgery were statistically analyzed.The related factors of unplanned secondary surgery for malignant tumor of tongue were further analyzed by logistic regression.Results From 2016 to 2021,a total of 468 cases(1.17％)underwent unplanned secondary surgery.The interval between unplanned secondary surgery and the first operation was 1 to 20 d.The top 3 diseases were maxillofacial malignant tumor,maxillofacial benign tumor and maxillofacial infection.The main causes of unplanned secondary surgery were flap vascular crisis and hematoma bleeding,accounting for 90.17％(422/468).There were 319 males and 149 females with a ratio of 2.14∶1,age of 53.00(36.00,62.00)years,duration of hospitalization of 14.00(12.00,18.00)d,and total cost of 68 694.91(51 773.01,89 850.04)yuan of unplanned secondary surgery group.There were 19 932 males and 19 495 females,aged 31.00(18.00,53.00)years,hospitalization time 7.00(4.00,10.00)d,and total cost was 12 338.96(8 869.90,28 650.17)yuan in the control group,the difference was statistically significant(P＜0.05).The unplanned secondary surgery was mainly with flap,accounting for 76.07％.The incidence of unplanned secondary surgery in grade 3 and 4 surgeries from 2016 to 2021 was 3.62％(397/10 966),higher than 0.25％(71/28 929)in grade 1 and 2 surgeries.Age,drinking history,hypertension and flap operation were the main risk factors for unplanned secondary surgery for tongue malignancy(P＜0.05).Conclusions In view of the risk factors of unplanned secondary surgery in oral and maxillofacial specialty,we should strengthen perioperative management,strictly classify surgery,in order to improve medical quality.
unplanned secondary surgerystomatological hospitalmalignant neoplasmsquality of medical careperioperative managementlevel of operation
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