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在三个州的门诊甲状腺切除术后,急诊室使用
Michael R Visenio1, Susheel Reddy2, Cord Sturgeon3
1Surgical Outcomes and Quality Improvement Center, Department of Surgery, Indiana University School of Medicine, Indianapolis, IN; Department of Surgery, Northwestern University Feinberg School of Medicine. Chicago, IL.
Surgery
|November 9, 2023
概括
门诊甲状腺切除术后的急诊室访问是常见的,特别是"治疗和释放"的遭遇. 在这些访问中存在种族,种族,社会经济和地理群体之间的差异,突出了改善护理途径的需要.
科学领域:
- 外科手术的结果
- 医疗服务研究 医疗服务研究
- 内分泌外科手术是一种内分泌手术.
背景情况:
- 门诊甲状腺切除术越来越常见.
- 有限的大规模数据存在于甲状腺切除术后急诊室 (ED) 的使用,再入院和治疗和释放遭遇.
- 这项研究评估了门诊甲状腺切除术后的ED利用率和再入院率.
研究的目的:
- 评估门诊甲状腺切除术后急诊室 (ED) 使用和再入院的发生率.
- 为了确定与ED遭遇和再接收相关的因素.
- 描述甲状腺切除术后使用ED的差异.
主要方法:
- 在佛罗里达州,马里兰州和纽约州使用医疗保健成本和利用项目的数据库对2016-2017年成人门诊甲状腺切除术的分析.
- 识别治疗和释放的遭遇和30天的再入院.
- 统计分析以确定与ED使用和再接收相关的因素.
主要成果:
- 在17046名患者中,7.5%的患者有治疗和释放ED遭遇;2.3%的患者重新入院.
- 低血是治疗和释放和再入院的最常见原因.
- 非西班牙裔黑人和西班牙裔患者,医疗补助接收者以及非大都市地区的患者有更高的治疗和释放遭遇的几率,但没有再入院.
结论:
- 在门诊甲状腺切除术后,急诊室的使用频繁.
- 种族,种族,社会经济和地理差异与治疗和释放的遭遇有关,而不是再接收.
- 针对弱势群体的术后护理标准化可能会减少差异和急救访问.
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