相关实验视频
Updated: Jul 18, 2025

04:14
Author Spotlight: Recent Advancements in Reoperative Foregut Surgery
Published on: September 22, 2023
509
医院病床周转率与消化器外科手术患者结果的关联
Arnaud Pasquer1,2, Léa Pascal1,3, Stephanie Polazzi1,3
1From the Research on Healthcare Performance RESHAPE, Inserm U1290, Université Claude Bernard Lyon 1, Lyon, France.
概括
较高的医院床位流动率改善了轻微的消化器外科手术的结果,减少了并发症和重复手术. 然而,对于主要的消化器外科手术,这种益处并不总是被观察到.
科学领域:
- 手术结果研究研究.
- 医院绩效指标 医院绩效指标
- 在外科手术中的患者安全
背景情况:
- 手术绩效改进侧重于提高生产力,同时尽量减少并发症.
- 手术复杂性对医院绩效和患者结果之间的关系的影响尚不清楚.
研究的目的:
- 调查医院病床流动率 (BTR) 对小或大消化器外科手术后并发症发生率的影响.
- 评估手术复杂性是否会改变BTR对手术结果的影响.
主要方法:
- 一项全国性的回顾性队列研究分析了2013年至2018年期间来自法国631家医院的数据.
- 用通用估计方程建模来评估BTR对手术结果的影响,控制患者组合和医院集群.
- 医院BTR被分为三类,主要终点包括30天的住院患者死亡,延长ICU入院和重新手术.
主要成果:
- 对于轻微手术,高BTR医院的并发症率 (OR 0.89),死亡率 (OR 0.87),ICU入院率 (OR 0.83) 和再手术率 (OR 0.91) 与低BTR医院相比显著降低.
- 高BTR医院的不良事件发生率为2.25%,低BTR医院的小手术发生率为2.51%
- 对于大手术,在高BTR和低BTR医院 (16.83%与16.79%) 之间没有观察到不良事件的持续差异.
结论:
- 升高的医院床位流动率与接受轻微消化器外科手术的患者的改善结果有关.
- 在主要的消化器外科手术中,医院床位上的高患者流动率的好处值得怀疑.
- 医院BTR可能是优化特定手术程序的性能的一个重要因素.
更多相关视频
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
115
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
115
Appendicitis-II: Diagnostic Studies and Management
98
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
98
Peptic Ulcer Disease V: Surgical Management and Nursing Care
335
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
335
Hospitals-II
807
Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in...
Nurses that work in...
807
Anatomical Positions
10.3K
In anatomy, several standard anatomical positions are used as references for describing the position and orientation of different body parts. These positions help provide a common frame of reference when discussing anatomical structures. The anatomical position is the standard reference point for describing the body's position and orientation. In this position:
The body is upright, facing forward, and standing erect.
The feet are parallel and flat on the floor.
The arms are hanging by the...
The body is upright, facing forward, and standing erect.
The feet are parallel and flat on the floor.
The arms are hanging by the...
10.3K
Inflammatory Bowel Disease V: Surgical Management
168
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
168

