周末出院是否会影响胰腺手术患者的再入院率?
Rachel C Kim1, Stephanie E Schick1, Rodica I Muraru2
1Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.
概括
在胰腺手术后的周末出院不会增加30天的再入院率. 谨慎的临床决策允许安全的周末出院,结果与胰腺切除术患者的周日出院相似.
科学领域:
- 手术瘤学手术瘤学
- 胃肠病学 胃肠病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 周末再接收与胰腺切除后的死亡率较高有关.
- 周末出院对胰腺外科手术后患者结果的影响仍然不太清楚.
研究的目的:
- 研究周末出院对胰腺手术后30天再入院率的影响.
主要方法:
- 对2042名在高人数机构接受胰腺切除术的患者 (2013-2021) 的回顾性审查.
- 分析使用多变量后勤回归来确定周末出院和30天再接收之间的关联.
- 排除在出院前死亡的患者.
主要成果:
- 20.5%的患者在周末出院.
- 周末出院与30天再入院率的增加没有关联 (14.8%对14.8%,p=0.997).
- 与再入院相关的独立因素包括延迟胃排空和胰腺,而不是周末排放.
结论:
- 在胰腺手术后的周末,患者可以安全出院.
- 在出院决定中,临床判断是维持患者安全和避免再入院增加的关键.
相关概念视频
Appendicitis-II: Diagnostic Studies and Management
80
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
80
Peripheral Artery Disease V: Postoperative Nursing Management
11
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
11
Acute Pancreatitis II: Clinical Manifestations and Management
131
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
131
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
95
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
95
Chronic Pancreatitis II: Collaborative Care
95
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
95
Cardiomyopathy VII: Pre and Post Operative Nursing Management
15
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
15


