关于老年人资源利用情况的全国性队列研究,这些老年人患有紧急一般外科病症
Justin S Hatchimonji1, Catherine L Mavroudis2, Ari Friedman3
1Division of Traumatology, Surgical Critical Care, and Emergency Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
The Journal of surgical research
|June 17, 2023
概括
在超过180万名老年人中分析了紧急整体外科 (EGS) 的资源利用率. 对于肝胆道和阻塞状况而言,操作管理是常见的,这突出了对优化EGS护理模型的需求.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 外科手术的结果
- 老年医学 老年医学
背景情况:
- 之前的研究集中在紧急整体外科 (EGS) 的负担上,但缺乏对手术和非手术管理资源利用的详细分析.
- 了解资源配置对于优化EGS护理和患者结果至关重要.
研究的目的:
- 描述老年人紧急整体外科 (EGS) 条件的手术和非手术管理的资源利用情况.
- 识别不同EGS子条件的资源使用模式.
主要方法:
- 对2015-2018年医疗保险数据的回顾性分析,包括患者和医院的特征.
- 使用当前程序术语 (CPT) 代码定义手术,非手术程序和其他资源.
- 包括1,802,545名患者,平均年龄为74.7岁.
主要成果:
- 该队列包括1,802,545名患者,平均年龄为74.7岁,主要是上部胃肠道诊断.
- 肝胆道 (26.4%) 和阻塞 (23.9%) 的EGS次条件显示了最高的手术干预率.
- 诸如治疗性放射学 (78.4%) 和手术室/内镜套房 (92.5%) 等资源在都市医院中广泛可用.
结论:
- 对老年人EGS疾病的管理需要大量的干预资源.
- 对EGS患者治疗的潜在改善可能来自不断发展的EGS模型,加强急性护理手术培训和更好的医院间护理协调.
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
128
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
128
Peripheral Artery Disease V: Postoperative Nursing Management
13
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
13
Aneurysm IV: Nursing Management
11
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
11
Cardiomyopathy VII: Pre and Post Operative Nursing Management
16
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
16


