Analysis on the Distribution Characteristics of Unplanned Reoperation Patients in a Stomatology Hospital
Objective In order to reduce the incidence of unplanned reoperation,the distribution characteristics of reoperation causes,diseases,complications,gender,age,time of occurrence and length of stay in oral and maxillofacial surgery patients were analyzed.Methods A full sample of patients with unplanned reoperation from January 1st,2018 to December 31st,2022 were collected from the front page of medical records,and descriptive statistics were used for retrospective analysis.Results From 2018 to 2022,the incidence of unplanned reoperation was 0.43％,showing an upward trend,with a total of 11 categories,mainly flap disorders;9 types of diseases with unplanned reoperation were mainly benign and malignant oral tumors(61.45％),and the prevalence rate of complications was 16.87％,all of which were hypertension.Sex ratio 3.61∶1,with a quarterage of 50(38,57)years old;unplanned reoperation mainly occurred 0-2 days after surgery,mainly three categories of bleeding and flap disorders,implant infections and other three categories;the average number of days of hospitalization were significantly higher than normal.Conclusions The incidence of unplanned reoperation was low,but it showed a growth trend,mainly due to the continuous increase in free flap surgery cases;clinical departments should grasp the characteristics of prone patients and the time of unplanned reoperation,and strengthen perioperative management;functional departments should formulate an unplanned reoperation supervision system,strengthen personnel training,strengthen tracking management,supplemented by information systems,improve medical quality,reduce the occurrence of unplanned reoperation.
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