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术后出院目的地影响30天的结果:国家外科质量改善计划多专业外科队列分析
Carlos Riveros1, Sanjana Ranganathan1, Yash B Shah2
1Department of Urology, Houston Methodist Hospital, Houston, TX 77030, USA.
Journal of clinical medicine
|November 14, 2023
概括
将手术患者送往家庭以外的设施与更糟糕的30天结果有关,包括再入院和并发症. 这凸显了出院目的地规划对于患者康复至关重要.
科学领域:
- 手术成果研究的研究结果.
- 医疗服务研究 医疗服务研究
- 患者的安全性 患者安全性
背景情况:
- 排放目的地显著影响术后康复.
- 释放后的事件比释放前的并发症更强烈地与再录取有关.
研究的目的:
- 评估出院目的地与30天术后结果之间的关联.
- 为了确定与手术后非家庭出院相关的风险.
主要方法:
- 使用美国外科医生学院国家外科质量改进计划 (ACS-NSQIP) 数据库进行回顾性队列研究.
- 分析了8个外科专业的150多万名患者.
- 将患者分为家庭和非家庭出院组的二分化.
主要成果:
- 非家庭出院与增加30天的无计划再入院有关.
- 出院到非家庭设施的患者患肺,传染病,血栓栓塞和出血并发症的比率更高.
- 非家庭出院也与30天死亡率的增加有关.
结论:
- 出院到非家庭设施是30天术后不良结果的重要风险因素.
- 患者和护理人员应被告知与非家庭出院目的地相关的风险.
- 出院目的地规划对于改善手术患者的治疗结果至关重要.
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