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在第三世界环境中为腹患者制定和实施增强恢复协议
Franco José Signorini1, M Belén Soria1, Florencia Huais1
1General Surgery Department, Hospital Privado Universitario de Córdoba, Córdoba, Argentina.
概括
在减肥手术中实施增强恢复协议显著减少了住院和医院费用. 这种方案即使在资源有限的环境中也是有效的,在不增加并发症的情况下改善了患者的治疗结果.
科学领域:
- 外科手术 手术手术
- 增强的恢复协议 恢复协议
- 腹部外科 腹部外科
背景情况:
- 增强恢复协议 (ERP) 是基于证据的途径,以优化手术患者的护理.
- 在资源有限的环境中实施会带来独特的挑战和机遇.
研究的目的:
- 为减肥手术开发和实施可复制的增强恢复协议.
- 评估本协议对患者结果的影响,包括在发展中国家的住院时间,并发症和成本.
主要方法:
- 在"常规护理" (UC) 和"快速跟踪" (FT) 组之间进行了一项前性比较研究.
- UC组 (2014-2017) 接受了标准护理;FT组 (2017-2019) 接受了增强的恢复协议.
- 分析的主要结果:停留时间,30天再入院,并发症,吗啡使用和成本分析.
主要成果:
- 与UC组 (58.5小时) 相比,FT组的平均住院时间 (40.3小时) 显著较短 (P=.0001).
- 两组之间在总体发病率 (P=.47) 或重大并发症 (P=.79) 中没有发现显著差异.
- 与UC组相比,FT组的吗啡使用和整体成本在统计学上显著降低 (P<.0001).
结论:
- 增强恢复协议是减肥手术的可靠和有效策略.
- 该协议可以在资源不足的环境中成功实施,增强患者的益处并降低医疗保健成本.
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