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门诊延长恢复:安全地过渡到过夜观察的最小侵入性前列腺切除术
John E Musser1, Melissa J Assel1, Joshua J Meeks1
1Urology Service, Department of Surgery and Department of Epidemiology and Biostatistics (MJA, DDS, AJV), Memorial Sloan Kettering Cancer Center, New York, New York.
Urology practice
|August 10, 2023
概括
门诊扩展康复计划显著减少了最小侵入性激进前列腺切除术患者的住院时间,为一晚. 这种途径改善了患者的治疗结果,而不会增加再入院或紧急护理访问.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 外科手术的结果
- 医疗保健管理的管理
背景情况:
- 评估一条临床途径,以进行微创激进前列腺切除术.
- 将住院手术过渡到过夜观察.
研究的目的:
- 评估门诊扩展康复计划的安全性和有效性.
- 减少前列腺切除术患者住院时间.
主要方法:
- 在实施多学科恢复计划之前和之后的结果进行比较.
- 分析了住院时间,再入院和紧急护理访问.
- 根据患者年龄,ASA状态和手术类型进行调整.
主要成果:
- 长时间住院 (超过1晚) 的减少从53%降至8%.
- 在延长停留期间实现了45%的调整后绝对风险降低.
- 没有观察到重收或紧急护理访问率的显著增加.
结论:
- 门诊延长康复计划有效地实现了一晚住宿.
- 该途径证明了微创激进前列腺切除术的安全性和有效性.
- 没有观察到对患者再入院或急诊率的不良影响.
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