在小儿整形外科中实施了新的跨学科手术后增强恢复协议
Sławomir Zacha1, Aleksander Szwed1, Jakub Miegoń2
1Department of Paediatric Orthopaedics and Musculoskeletal Oncology, SPSK nr 1 Pomeranian Medical University, 71-252 Szczecin, Poland.
Journal of personalized medicine
|September 28, 2023
概括
在儿科骨科中实施跨学科的手术后增强恢复 (ERAS) 协议,包括BackOnFeet应用程序,显著减少了住院时间和成本. 这种方法提供了心理,组织和财务上的好处.
科学领域:
- 儿科整形外科 儿科整形外科
- 手术恢复协议 手术恢复协议
背景情况:
- 手术后增强恢复 (ERAS) 协议在儿科骨科中不是标准的.
- 文化和财务因素需要对ERAS协议进行地方调整.
研究的目的:
- 在小儿骨科中实施局部化,跨学科的ERAS协议之前和之后比较外科护理质量.
- 评估该协议对住院时间,费用和患者结果的影响.
主要方法:
- 一项前后观察性研究,涉及4098名儿科患者.
- 在20个月内对1553名患者 (BEFORE组) 和2545名患者 (AFTER组) 的分析.
- 引入了一种新的协议,包括BackOnFeet (BOF®) 教育应用程序和手术内神经冷痛疗法.
主要成果:
- 两组之间观察到住院时间 (p < 0.001) 的显著差异.
- 在程序类型和成本与收入比率中发现的变化.
- 该BOF®应用程序被证明是一个有效的教育工具.
结论:
- 使用跨学科的ERAS协议和新的工具,优化儿科整形外科的术后管理是可行的.
- 实施的协议产生了切实的心理,组织和财务效益.
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