The Impact of Retained Surgical Items on Patient and Clinical Practice: A Systematic Review.

IF 1.7 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Peirong Chen
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Abstract

Retained surgical items (RSIs) are foreign objects left inside after surgery, classified as serious but preventable never events. This review aims to examine the consequences and impact of RSIs, thereby raising awareness and emphasizing prevention. The author reviewed case reports published between 2020 and 2024. A total of 37 cases were evaluated. Excluding 3 asymptomatic patients, 91.89% sought medical help due to discomfort, with 59.46% experiencing pain. On average, 2.33 additional imaging examinations were required. Of the patients, 94.59% underwent a second or more operations, 77.14% of which were open surgeries. Serious complications were observed in 29.73% of cases, and 3 patients died from complications. The average stay to discharge after surgery was 5.94 days. The median incubation time was 1.75 years. RSIs were found across various procedures and anatomic sites, with 67.57% presenting nonspecific symptoms. Only 32.43% of diagnoses were identified through imaging, and 70.27% were confirmed intraoperatively, indicating that the primary diagnosis matched the final diagnosis in only 29.73% of cases. The impact of retained surgical items on patients and health care providers is significant. Prevention is always better than cure.

手术遗留物品对患者和临床实践的影响:系统回顾。
手术残留物(rsi)是指手术后留在体内的异物,属于严重但可预防的事件。本综述旨在探讨rsi的后果和影响,从而提高认识并强调预防。作者回顾了2020年至2024年间发表的病例报告。共评估37例。除3例无症状患者外,91.89%患者因不适就医,其中59.46%患者出现疼痛。平均需要额外进行2.33次影像学检查。94.59%的患者接受了第二次及以上手术,其中77.14%为开放性手术。29.73%的病例出现严重并发症,3例患者死于并发症。术后平均住院时间为5.94天。中位潜伏期为1.75年。rsi可在不同手术和解剖部位发现,67.57%表现为非特异性症状。影像确诊率仅为32.43%,术中确诊率为70.27%,初步诊断与最终诊断吻合率仅为29.73%。保留的手术物品对患者和医疗保健提供者的影响是显著的。预防总是胜于治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Patient Safety
Journal of Patient Safety HEALTH CARE SCIENCES & SERVICES-
CiteScore
4.60
自引率
13.60%
发文量
302
期刊介绍: Journal of Patient Safety (ISSN 1549-8417; online ISSN 1549-8425) is dedicated to presenting research advances and field applications in every area of patient safety. While Journal of Patient Safety has a research emphasis, it also publishes articles describing near-miss opportunities, system modifications that are barriers to error, and the impact of regulatory changes on healthcare delivery. This mix of research and real-world findings makes Journal of Patient Safety a valuable resource across the breadth of health professions and from bench to bedside.
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