在急性整体外科病房内治疗腹痛的不有效入院
Yash Panwar1, Sam Shan1, Lily Owens1
1Division of Surgery, Northern Health, 185 Cooper St, Epping, VIC, 3076, Australia.
许多因腹部疼痛而入院急性普通外科病房 (AGSU) 的患者不需要手术. 利用负C反应蛋白和成像结果可以帮助减少不必要的入院,提高单位的效率.
科学领域:
- 手术护理和医院管理.
- 胃肠道学和腹部疾病.
背景情况:
- 急性整体外科单位 (AGSU) 模型是急性外科护理的标准.
- 对AGSU推和录取的研究是有限的.
- 这项研究审计了向AGSU转诊的腹痛情况以及入院的必要性.
研究的目的:
- 为了评估腹部疼痛转介到AGSU.
- 评估这些患者入院的必要性.
- 确定提高AGSU效率的策略.
主要方法:
- 成年人腹痛入院的回顾性队列研究.
- 在一个大都市医院进行为期两年的学习.
- 从电子医疗记录中提取的数据,包括诊断,停留时间,调查和疼痛结果.
主要成果:
- 1587名患者符合标准;1116名 (70.3%) 患有非手术诊断 (主要是非特异性腹痛).
- 非手术患者的停留时间较短 (25.3小时 vs 44.2小时),异常炎症标志物较少.
- 手术患者更有可能有升高的CRP和阳性成像.
结论:
- 由于腹痛而入院的AGSU患者中有很大一部分是非手术的.
- 阴性CRP和成像结果可能有助于避免不必要的入院.
- 优化镇痛和使用负诊断标记可以提高AGSU的效率和工作量.
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