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作为儿科外科手术质量指标的非计划性30天再入院的影响
Sarah Ellul1, Mohamed Shoukry2
1Division of Paediatric Surgery, Department of Surgery, Mater Dei Hospital, Swatar, Malta.
Frontiers in surgery
|June 16, 2023
概括
马特·戴医院的儿科外科再接收人数为1.7%,其中大多数发生在急诊后. 需要制定战略来减少这些可避免的再入院,并改善患者的治疗结果.
科学领域:
- 儿科手术 儿科手术
- 改善医疗保健质量 改善医疗保健质量
- 患者安全 患者安全
背景情况:
- 医院再入院率是医疗保健质量的关键指标.
- 了解再接收模式对于风险管理和服务改进至关重要.
- 儿科手术再入院在医疗保健系统中存在独特的挑战.
研究的目的:
- 调查儿童手术中导致30天再入院的途径和因素.
- 分析COVID-19大流行之前Mater Dei医院 (MDH) 的再接收数据.
- 确定改善护理和减少儿科手术再入院的领域.
主要方法:
- 2017年10月至2019年11月期间的儿科外科住院病例的回顾性研究.
- 收集人口统计和临床数据,包括诊断,手术和逗留时间.
- 为了进行比较分析,将再接收者分为选修和紧急队列.
主要成果:
- 总共审查了935例外科住院病例,再住院率为1.7% (16名患者).
- 大多数再入院 (75%) 发生在紧急入院后,平均停留时间为4.37天.
- 几乎一半的再入院 (43.7%) 是术后干预,其中25%需要进一步的手术.
结论:
- 关于儿科手术再入院的公布数据有限,这凸显了进一步研究的需要.
- 大多数遣返是可以预防的,这强调了定制策略和多学科方法的重要性.
- 改善沟通和资源高效的干预措施对于降低发病率和预防儿科手术再入院至关重要.
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