乙肝肝硬化伴食管胃底静脉曲张破裂出血术后超长住院日患者影响因素分析

doi:10.3969/j.issn.1006-5253.2023.04.011

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Abstract Objective To study the influencing factors of prolonged hospitalization days in patients with hepatitis B cirrhosis and esophagogastric variceal bleeding, to provide a basis for reducing the occurrence of prolonged hospitalization days.Methods A retrospective study was conducted to collect the information of 1 201 patients with hepatitis B cirrhosis and esophagogastric variceal bleeding who underwent endoscopic tissue glue injection combined with ligation in Taizhou Hospital Affiliated to Wenzhou Medical University from January 2013 to June 2022. We defined more than 29 days of hospitalization as ultralong hospitalization days (n=63 cases). Multivariate logistic regression analysis was used to screen out independent risk factors, and the area under the receiver operating characteristic curve (ROC) was used to evaluate the value of combined detection for statistical description.Results Logistic regression analysis showed that the days from onset to surgery ≥8, number of department transfers≥2 times, complicated with hemorrhagic shock and hospital infection were independent risk factors for ultralong postoperative hospitalization, and the ROC curve area was 0.877, so there was clinical value in it.Conclusion When the time from onset to operation lasts 8 days and above, and the number of postoperative transfers is twice and above complicated with hemorrhagic shock and nosocomial infection, patients with hepatitis B cirrhosis and esophagogastric variceal bleeding are more likely to have prolonged postoperative hospital stay, which needs to cause clinical attention and early prevention.

Key words： esophagogastric varice transfer department prolonged hospitalization stay

Received: 01 March 2023

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	Articles by authors
	Chen Yingzi
	Li Shuangshuang
	Bi Xiaojie
	Chen Chaochao
	Zheng Yuwei

Cite this article:

Chen Yingzi,Li Shuangshuang,Bi Xiaojie, et al. Analysis of influencing factors of prolonged hospitalization days in hepatitis B cirrhotic patients with esophagogastric variceal bleeding[J]. journal1, 2023, 30(4): 294-298.

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http://manu58.magtech.com.cn/Jwk_zgyytj/EN/10.3969/j.issn.1006-5253.2023.04.011 OR http://manu58.magtech.com.cn/Jwk_zgyytj/EN/Y2023/V30/I4/294

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