实施同一天出院的减肥手术计划,并通过远程监控平台进行后续
Albert Caballero1, Jordi Tarascó1, Pau Moreno1
1Unidad de Cirugía Endocrino-Metabólica y Bariátrica, Hospital Universitario Germans Trias i Pujol, Spain; Universitat Autònoma de Barcelona, Spain.
Cirugia espanola
|October 2, 2023
概括
门诊性减肥手术对于使用远程监控的选定患者来说是可行的和安全的. 这种方法在没有严重并发症的情况下证明了成本节约,为传统住院提供了可行的替代方案.
科学领域:
- 腹部外科 腹部外科
- 远程医疗远程医疗
- 患者的治疗结果.
背景情况:
- 门诊减肥手术计划正在出现,在袖子胃切除术中报告了积极的结果.
- 最近的证据表明,门诊Roux-en-Y胃绕道也可行且安全.
- 这项研究评估了同日出院的减肥手术计划的初始经验,其中包括远程监控.
研究的目的:
- 描述和分析最初的同一天出院的减肥手术程序的结果.
- 评估远程监测在腹部外科后的护理中的可行性和安全性.
- 为了评估门诊减肥手术的成本效益.
主要方法:
- 对14名接受减肥手术 (袖子胃切除术或Roux-en-Y胃绕道) 的选定患者进行前性观察性研究.
- 家庭跟踪使用REVITA®远程监控平台和家庭住院病房.
- 从2021年4月到2023年2月收集的数据.
主要成果:
- 14名患者 (占191次减肥手术总数的7.3%) 被选中参加该计划.
- 10名患者 (71.4%) 完成了门诊循环.
- 没有出现严重的并发症,再入院或重新手术;估计每名患者节省了762美元.
结论:
- 同一天出院的减肥手术对于选定的患者来说是可行的和安全的.
- 远程监控平台和家庭住院单位有效地支持门诊腹外科手术.
- 这种模型提供了一个安全的,经济有效的替代方案,用于减肥患者管理.
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