脊椎外科手术后非计划性再入院:评估常见原因和风险因素
Troy B Amen1, Junho Song1, Eric Mai1
1Department of Orthopaedic Surgery, Hospital for Special Surgery, 535 East 70th St, New York, NY, USA.
The spine journal : official journal of the North American Spine Society
|September 16, 2023
概括
门诊脊椎手术后的非计划性再入院令人担忧. 关键因素包括无法控制的疼痛,并发症和患者的并发症,强调需要仔细选择患者.
科学领域:
- 整形外科手术 整形外科手术
- 神经外科 神经外科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 门诊脊椎手术在美国越来越受欢迎.
- 无计划的复诊在外科手术后是一个重大问题.
研究的目的:
- 确定在门诊性宫和腰椎手术后30天的非计划性再入院的发生率和时间.
- 确定重新接纳的常见原因.
- 为了确定与此患者群体的再入院相关的因素.
主要方法:
- 使用国家外科质量改进计划 (NSQIP) 数据库进行回顾性队列研究.
- 分析了2015-2020年33,092名宫和68,115名腰椎手术患者的情况.
- 多变量波桑回归用于确定再接收的预测因素.
主要成果:
- 宫手术的30天再入院率为3.37%,腰椎手术的3.07%.
- 常见的原因包括不受控制的疼痛,椎间盘的复发,血液瘤和非手术并发症 (GI,神经,心血管).
- 预测因手术类型而异,但包括年龄,BMI,功能依赖,糖尿病,吸烟,COPD和其他并发症.
结论:
- 鉴定出脊椎外科手术后意外再入院的常见原因和相关因素.
- 强调考虑这些因素对于在门诊脊柱手术中进行适当的患者选择的重要性.
关键词:
ACDF ACDF ACDF ACDF ACDF ACDF ACDF ACDF ACDF ACDF ACDF ACDF一个健行医疗系统.在宫上,宫部.椎间盘切除手术 (Disccectomy) 是一个切除椎间盘的手术.这是一种拉米内克托米 (laminectomy).腰部 腰部 腰部 腰部门诊患者 门诊患者 门诊患者再接纳是指重新接纳的人.脊柱外科手术 脊柱外科手术更多相关视频
相关概念视频
Peripheral Artery Disease V: Postoperative Nursing Management
12
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
12
Aneurysm IV: Nursing Management
8
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
8
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
112
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...
112
Pulmonary Embolism III: Nursing Management
15
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
15


