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确定常见儿科外科疾病常规术后随访的临床价值:一项前性观察性研究
Revathy Menon1, Manish Pathak1, Shubhalaxmi Nayak1
1Department of Pediatric Surgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
在儿科手术中,可以优先考虑例行术后访问. 识别需要干预的患者有助于减少不必要的身体随访,节省时间和资源.
科学领域:
- 儿科手术 儿科手术
- 医疗保健管理的管理
- 临床结果 临床结果
背景情况:
- 传统的术后检查是资源密集的.
- 根据临床需要优先考虑访问是必不可少的.
- 目前的做法可能会导致不必要的患者和医疗保健系统负担.
研究的目的:
- 评估儿科手术中常规术后身体随访的临床价值.
- 确定影响后续访问必要性的因素.
- 估计常规后续护理的经济影响.
主要方法:
- 对226名儿科手术患者的数据进行了回顾性分析.
- 经手术后的结果和后续干预 (身体或电话) 被记录下来.
- 临床干预作为后续监测的价值的代理.
主要成果:
- 64.60%的患者有体外门诊随访,而35.40%的患者有电话随访.
- 术后并发症在腹腔切除 (22.22%) 和复杂尾炎 (15.62%) 病例中最高.
- 13.27%的患者在随访期间需要临床干预.
结论:
- 较简单的手术 (例如 inguinal hernia) 的并发症率较低,需要更少的访问.
- 复杂的手术 (如尾切除术,腹腔切除术) 需要身体随访,因为并发症的风险更高.
- 选择性体检可以通过专注于高风险患者来优化资源配置.
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