周末出院与高热内皮层化疗后重新入院的增加无关
Isabella Florissi1, Shannon N Radomski1, Benjamin Shou1
1Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.
The Journal of surgical research
|October 8, 2023
概括
在周末进行高温腹腔内化疗 (CRS/HIPEC) 后送出患者是安全的,并且不会增加再入院率. 专注于医疗准备,而不是出院日,以延长逗留时间.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 腹癌是一种具有挑战性的疾病,通常用细胞减小手术和高温腹内化疗 (CRS/HIPEC) 治疗.
- 医院出院时间,特别是在周末,是患者管理和资源分配中考虑的因素.
研究的目的:
- 在接受CRS/HIPEC治疗的患者中调查周末出院和30日和90日再入院率之间的关联.
- 为了确定周末或重大假日出院的患者是否会影响他们早期再入院的风险.
主要方法:
- 对美国HIPEC协作数据库 (2000-2017年) 进行了回顾性分析.
- 为腹癌接受CRS/HIPEC治疗的患者被分为工作日和周末/假日出院组.
- 排除标准包括年龄<18岁,缺乏出院数据,以及手术内/住院死亡率.
主要成果:
- 1415名患者符合纳入标准;78%的患者在工作日出院,22%的患者在周末/假日出院.
- 总体而言,30天的再入院率为15%,90天的再入院率为19%.
- 周末出院与更高的30天或90天再入院率没有显著关联 (分别P=0.291和P=0.743).
结论:
- 周末在CRS/HIPEC后出院的患者是安全的.
- 住院长度倡议应该优先考虑患者的医疗准备,而不是避免周末出院.
- 这些发现支持当前的做法,并表明不需要对周末排放保持谨慎.
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