需要哈特曼手术的患者是否被充分优化为手术:一个审计周期
1General Surgery, Tameside and Glossop Integrated Care National Health Service (NHS) Foundation Trust, Manchester, GBR.
Cureus
|August 10, 2023
概括
在接受哈特曼手术的患者中,术前贫血很常见. 干预改善了患者的优化,降低了贫血率,并增加了血液测试完成率,以获得更好的外科结果.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 优化手术患者的优化
背景情况:
- 哈特曼手术是针对各种结肠疾病的重大手术.
- 手术前贫血与患者发病率和死亡率的增加有关.
- 在手术前优化血红蛋白水平对于患者的治疗结果至关重要.
研究的目的:
- 在哈特曼手术之前评估患者的优化.
- 评估干预对手术前贫血和血液检测完成的影响.
主要方法:
- 对接受哈特曼手术的患者的回顾性分析 (2016年5月 - 2020年2月).
- 收集的数据包括美国麻醉学会 (ASA) 级和手术前血红蛋白水平.
- 干预涉及流程图的海报分发和形式上的补充.
主要成果:
- 干预前:21%的患者血红蛋白<12 g/dL;90%的患者进行了组和保存测试.
- 干预后:贫血减少到11%;组和保存测试完成率增加到97% (在一组患者中).
结论:
- 实施的干预措施显著改善了Hartmann手术前患者的优化.
- 加强手术前管理可以减少贫血,并改善对重大结直肠手术的准备.
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