在接受快速移植评估的肝移植患者中,结果和资源利用情况
Emily Lin1, Anish Patel1, Ericka Young2
1Department of Medicine, Loma Linda University Health, Loma Linda, CA, USA.
概括
对于重症患者的肝移植加快评估显示了移植后的良好结果. 与传统的评估候选人相比,这些患者不需要增加员工的时间或资源.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 移植手术 移植手术
- 关键护理医学 关键护理医学
背景情况:
- 对于重症患者来说,加快肝移植评估是由于时间限制而面临的挑战.
- 时间有限会影响数据收集和心理社会评估.
研究的目的:
- 为了比较加快和传统肝移植评估组之间的临床结果.
- 评估门诊资源利用和员工负担的差异.
主要方法:
- 成年肝移植接受者的回顾性研究 (2015-2019).
- 加快评估定义为从启动到上市的时间为<2周.
- 主要结局:移植拒绝,失败和1年死亡. 二次结果:医疗保健资源的利用率和工作人员的文件.
主要成果:
- 包括92名加快治疗 (27.5%) 和243名传统 (72.5%) 患者.
- 加快组的MELD得分更高,需要更多的住院支持.
- 两组之间移植排斥,失败或死亡率没有显著差异.
- 加快移植与医疗保健或人员利用率的增加没有关联.
结论:
- 需要加快肝移植评估的重症患者获得了良好的结果.
- 与传统途径相比,加快评估不会增加移植后的资源利用率或人员负担.
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