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哪些因素会影响手术手术时间,当在手术室教导一名住院医生时?
Dathe Z Benissan-Messan1, Robert Tamer1, Heidi Pieper2
1Division of General and Gastrointestinal Surgery, Department of Surgery, The Ohio State University Wexner Medical Center Ohio, USA.
Heliyon
|May 30, 2023
概括
外科病例的手术时间受到住院人员的培训水平,性别和病例复杂性的影响,而不是外科医生的因素. 了解这些要素有助于在手术前规划,以提高手术培训案件的效率.
科学领域:
- 外科教育的外科教育
- 医疗保健服务研究 医疗服务研究
- 运营效率 运营效率 运营效率
背景情况:
- 在学术中心的外科病例中,住院人员的参与可能会延长手术时间.
- 影响这种现象的因素需要调查,以优化外科训练.
研究的目的:
- 确定病例因素 (程序,复杂性,方法),主治外科医生因素 (经验,性别) 或居民因素 (培训年,性别) 在涉及居民 (SCT) 的外科病例中是否影响手术时间.
主要方法:
- 对4417个涉及全科外科住院医生的手术病例 (2016-2020) 的回顾性分析.
- 操作时间定义为"截至关闭"时间.
- 统计分析包括ANOVA和多变量线性回归.
主要成果:
- 与女性住户相比,男性住户的手术时间明显长 (p=0.01).
- 经营时间随着居民培训年份的增加而减少,而5年居民的时间最短.
- 病例复杂性,特别是重大并发症,与更短的手术时间有关.
- 参与手术的外科医生经验和性别,手术类型和手术方法并没有显著影响手术时间.
结论:
- 住院医生的培训水平,住院医生的性别和病例复杂性是一般外科培训病例中手术时间的关键决定因素.
- 这些因素应在手术前的规划过程中被外科医生考虑,以提高效率.
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