在内镜骨底部手术后的急诊室访问:改善的机会
Neal R Godse1, Jakub Jarmula2, Varun R Kshettry1,2,3
1Section of Rhinology and Skull Base Surgery, Head and Neck Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
International forum of allergy & rhinology
|July 9, 2023
概括
在内镜底手术 (ESBS) 后访问急诊室 (ED) 的近一半患者被重新录取. 高龄是危险因素,再入院的患者进行了更多的实验室检查. 建议优化后续护理.
科学领域:
- 神经外科 神经外科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 紧急医疗 紧急医疗
背景情况:
- 住院再接收代表了大量的医疗保健费用,是关键绩效指标.
- 紧急部门 (ED) 的评估经常会在再入院之前进行.
- 了解ED访问后内镜底手术 (ESBS) 对于优化患者护理至关重要.
研究的目的:
- 分析ESBS在30天内访问ED的情况.
- 在ESBS后提交给ED的患者中确定再入院的风险因素.
- 评估这些患者的ED相关评估和结果.
主要方法:
- 在手术后30天内提交给ED的ESBS患者的回顾性审查.
- 从2017年1月到2022年12月在一个大批量中心收集的数据.
- 分析患者的人口统计,诊断,检查和处置情况.
主要成果:
- 17.5%的ESBS患者 (104/593) 在手术后提交给ED.
- 重新入院的患者年龄大得多 (中位数为60岁与48岁),并接受了更多的实验室检测.
- 紧急救助诊所的常见原因包括头痛和表;再入院通常是由于血清异常或精神状态改变.
结论:
- 大约一半的ED患者在ESBS后出院,尽管进行了广泛的治疗.
- 老年患者的年龄与再接收风险有关.
- 加强术后护理,包括及时的随访和风险分层的途径,可能会减少再入院.
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
119
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...
119
Endoscopic Procedures I: Esophagogastroduodenoscopy
205
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
205
Endoscopic Procedures V: ERCP
424
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
424
Endoscopic Studies II: Thoracocentesis
348
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
348
Endoscopic Procedures II: Colonoscopy
135
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
135
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
236
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
236


