紧急腹腔切除术的周末效应:一种倾向性得分匹配分析.
Amy Sylivris1, Dhruvesh M Ramson1,2,3, Jahan C Penny-Dimri1
1Department of Surgery, Monash University, Melbourne, Victoria, Australia.
ANZ journal of surgery
|July 7, 2023
概括
周末效应,即患者护理的差异,在新西兰紧急腹腔切除术 (EL) 患者身上进行了调查. 现代护理实践似乎消除了这个周末效应,显示了周末和周日EL患者的可比结果.
科学领域:
- 医学研究 医学研究
- 外科手术的结果
- 医疗保健中的差异
背景情况:
- "周末效应"描述了在工作日和周末之间患者护理和结果的差异.
- 这项研究调查了新西兰奥特亚罗亚 (AoNZ) 周末效应的存在.
- 专注于接受紧急腹腔切除术 (EL) 的患者,考虑到最近的管理进展.
研究的目的:
- 为了确定周末效应是否会影响AoNZ的紧急腹腔切除术 (EL) 患者.
- 评估现代术后护理是否能缓解潜在的周末差异.
- 为了比较周末的结果与周日的EL程序.
主要方法:
- 在五家医院中采用了队列研究设计.
- 对比了周末和周日急性EL患者的结果.
- 倾向性得分匹配被用于控制混患者因素.
主要成果:
- 包括487名患者中的132名患者在周末接受了EL.
- 在周末和周日EL之间没有观察到统计学上显著的结果差异.
- 在平日和周末的队列中,死亡率相似 (P=0.464).
结论:
- 新西兰的现代术后护理似乎否定了"周末效应".
- 紧急腹腔切除术患者的结局无论入院日如何,都是一致的.
- 这表明整个星期都保持着高标准的护理.
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