调查与乳房切除术后急诊室访问相关的因素:基于人口的分析
Steven Langer1, Yuan Xu2, Shiying Kong3
1Department of Surgery, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada. steven.langer@ucalgary.ca.
Annals of surgical oncology
|July 15, 2023
概括
尽管有改善乳腺切除护理的途径,但术后急诊室 (ED) 的访问仍然很高. 老年和农村生活等因素增加了急救诊所的访问量,这表明需要有针对性的患者支持.
科学领域:
- 在瘤学瘤学.
- 手术护理 手术护理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 2016年的一条途径旨在增强乳房切除术术前期护理,显著增加当天手术率.
- 然而,尽管进行了干预,术后急诊室 (ED) 访问超过了20%.
研究的目的:
- 为了确定导致术后ED诊所访问高率的因素,在加拿大阿尔伯塔省进行了乳房切除术后.
主要方法:
- 使用行政数据库对19974名乳腺切除术患者 (2004-2020年) 的回顾性分析.
- 使用单变量和多变量分析,研究了30天内ED访问的预测因素.
主要成果:
- 23%的患者在乳腺切除术后的30天内访问ED.
- 对于ED访问的独立预测因素包括年龄较大,过夜,重建,并发症和农村居住.
结论:
- 高的术后ED访问率在途径实施后仍然存在.
- 大多数ED访问是非紧急的,这表明改善资源分配的潜力.
- 针对高风险患者群体的有针对性的支持可能会减少计划外的急救访问.
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