应对COVID-19后胆囊切除术等候名单:我们正在迎接挑战吗?
Mohammed Hamid1, Neginsadat Mirtorabi1, Abdul Ghumman1
1University Hospitals Birmingham NHS Foundation Trust, Heartlands Hospital, Birmingham B9 5SS, UK.
Medicina (Kaunas, Lithuania)
|October 28, 2023
概括
创新策略显著减少了胆囊切除术等待时间,从一年多的时间减少到仅49天. 这种方法有效地清除了手术积压,为其他医院提供了一个改善选择性手术接入的模式.
科学领域:
- 外科手术的结果
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- 由于COVID-19大流行,选择性外科手术程序出现了大幅延迟,造成了大量的患者等待列表.
- 胆囊切除术等待时间成为一个关键问题,影响了患者的护理和结果.
- 英国一家大型医院信托机构实施了新的策略,以解决选择性胆囊切除术的积压问题.
研究的目的:
- 评估一种创新的,多方面的方法对胆囊切除术等待时间的影响.
- 评估COVID-19后恢复阶段胆囊切除术整体活动的趋势.
- 确定策略在减少选修外科手术积压的有效性.
主要方法:
- 在英国一家医院信托机构进行了长达12个月的前性观察研究 (2021年2月至2022年2月).
- 采用了多种策略:利用私营部门,多个手术场所,移动手术室和延长工作时间 (七天操作).
- 使用统计分析,包括确定性相关性 (R2) 和克鲁斯卡尔-瓦利斯试验,分析等待时间趋势.
主要成果:
- 总共进行了657次胆囊切除术,患者的中位数年龄为49岁,主要是健康患者 (ASA 1-2).
- 胆囊切除术的中等等待时间从428天大幅减少到49天 (R2 = 0.654,p < 0.001).
- 胆结石胰腺炎病例的等待时间从218天减少到28天 (R2 = 0.613,p < 0.001).
结论:
- 实施的方法成功和安全地减少了胆囊切除术等候名单.
- 这种创新,多方位的方法显示了减少选择性手术等待时间的巨大潜力.
- 采用的策略可以被其他医疗保健部门适应类似的外科手术程序,以改善患者的访问.
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