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尿道支架在诊所:一个安全和经济的替代手术室的替代方案
Zachary M Connelly1,2, Ann Stolzle1, Robert August Vanlangendonck1
1Department of Urology, Louisiana State University Health Shreveport Shreveport, LA, USA.
American journal of clinical and experimental urology
|August 30, 2023
概括
在门诊部放置尿路支架是一种可行的,安全的替代手术室. 这种新的方法显著降低了尿路支架插入的成本,同时保持了患者的安全.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 门诊手术 门诊手术 门诊手术
- 卫生经济学 卫生经济学
背景情况:
- 尿道支架安置是一种常见的泌尿器科手术,通常在整体麻醉下在手术室进行.
- 通过替代设置,可以避免入院和尿路支架放置的全身麻醉.
研究的目的:
- 评估尿管支架插入在门诊门诊诊所的可行性,安全性和成本效益.
- 评估在传统的手术室环境之外进行尿路支架的可行性.
主要方法:
- 对240名患者进行了回顾性分析,其中279名患者经历了尿路支架插入.
- 门诊诊所支架和手术室手术之间的安全性和成本的比较.
- 收集有关患者人口统计,支架持续时间,疼痛,不良事件和成本的数据.
主要成果:
- 门诊诊所支架涉及老年患者,与手术室手术相比,支架持续时间更长.
- 在这两种情况下,在麻醉剂使用,疼痛或不良伤害方面没有发现显著差异.
- 临床手术费用为7,865.69美元,远低于手术室费用为16,349.91美元,医疗保险退款不变.
结论:
- 在门诊中插入尿道支架是手术室的可行和安全的替代方案.
- 这种新的方法为尿道支架提供了一种更具成本效益的方法.
- 门诊诊所的支架可以避免住院和全身麻醉,改善患者体验并减少医疗保健支出.
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