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临床手腕道释放手术结果和高价值护理
Steven C Kronlage1, Mitchell J Lomis2, Edward A Whitaker3
1Hand and Upper Extremity Surgery, Andrews Institute for Orthopaedic and Sports Medicine, Gulf Breeze, USA.
Cureus
|August 22, 2023
概括
在临床环境中使用局部麻醉进行手腕道释放手术与医院或外科手术中心手术一样安全和有效. 这种方法通过最大限度地降低设施和麻醉费用,大大降低了医疗保健成本.
科学领域:
- 整形外科 整形外科 整形外科
- 卫生经济学 卫生经济学
背景情况:
- 随着医疗保健成本的上升,需要提供高价值的护理.
- 手腕道释放手术代表着相当大的成本负担.
- 尽量减少手腕道释放的成本至关重要.
研究的目的:
- 为了比较手腕道释放在不同手术场所的患者结果.
- 评估医院,ASC和临床程序的感染和修订率.
- 为了确定临床的手腕道释放是否以更低的成本提供了相似的结果.
主要方法:
- 对388名接受迷你开放性手腕道释放的患者进行了回顾性审查.
- 在医院,门诊手术中心 (ASC) 和诊所设置中由受过奖学金培训的手术医生进行的手术.
- 在这三个场地进行的术后感染和修复率的比较.
主要成果:
- 在任何手术场所都没有报告任何深层感染.
- 在医院,ASC和诊所设置之间没有观察到患者结局 (感染,修订率) 的显著差异.
- 基于临床的程序证明了与ASC和基于医院的程序相比的安全性和有效性.
结论:
- 临床开放的手足道释放并不低于ASC或医院的程序.
- 在诊所进行手腕道释放可以最大限度地降低设施和麻醉费用.
- 基于诊所的程序通过节省成本提供了高价值的护理机会.
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