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William G Fishley^1,2, Sarah Paice¹, Haaris Iqbal¹

¹Northumbria Orthopaedics, Northumbria Healthcare NHS Foundation Trust, Wansbeck General Hospital, Ashington, UK.

Bone & joint open

|August 21, 2023

概括

一日病例全膝关节整形手术 (TKA) 在英国是安全有效的,再入院率低,患者满意度高. 这种方法可以在没有额外的资源的情况下实施,提高了骨科护理的效率.

科学领域:

整形外科手术整形外科手术
医疗保健服务研究医疗服务研究

背景情况:

在英国,当前每日病例全膝关节整形术 (TKA) 的率很低 (约为1. 0.5%). 在这个过程中.
减少TKA的住院时间可以提高效率,增加手术吞吐量,并解决对关节置换手术和手术积压日益增长的需求.

研究的目的:

评估使用现有住院设施在NHS信托机构内提供日间病例TKA的安全性和可行性.
评估患者的结果,包括再入院率,再入院率和满意度,在日常病例TKA之后.

主要方法:

一日病例TKA的回顾性审查 (同一天出院的患者) 随着至少六个月的随访.
分析医院和初级保健记录的再入院和再出院率.
电话采访以衡量患者对日常TKA程序的满意度.

主要成果:

4.1%的TKA (301/7350) 在2016年至随访期间作为日间病例进行.
观察到90天急诊室出院率较低 (9.3%) 和再入院率较低 (2.0%).
没有发生修复手术或周围假肢感染;患者满意度很高 (95%会再次选择白天病例TKA).

结论:

日常TKA可以在NHS中安全地实施,而不需要额外的资源.
该程序表明术后初级和二级护理接触的发生率很低,并实现了高的患者满意度.

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