一个"Hub and Spoke"共享护理计划,用于CTEV Ponseti服务
Sabba A Hussain1,2, Aisling Russell3, Sean E Cavanagh1,2
1Trauma and Orthopaedics Department, St George's University Hospitals NHS Foundation Trust, London, UK.
Bone & joint open
|November 14, 2023
概括
小说 小说 小说
科学领域:
- 整形外科 整形外科 整形外科
- 儿科整形外科 儿科整形外科
- 手术创新 在外科创新.
背景情况:
- 先天性脊柱脊髓炎 (CTEV) 是一种复杂的骨科疾病,需要专门的治疗.
- 庞塞蒂方法是CTEV管理的既定黄金标准.
- 地理可访问性和资源分配在提供专家CTEV护理方面存在挑战.
研究的目的:
- 评估一种新的"Hub and Spoke"共享护理模型的可行性和结果,用于Ponseti治疗CTEV.
- 评估该模型在应对服务交付挑战和资源分配方面的有效性.
- 为了比较在中央"中心"和当地"口腔"医院管理的患者之间的结果.
主要方法:
- 从2020年3月至2023年3月期间接受治疗的92名患者 (139英尺) 的前性数据收集.
- 异形性CTEV患者在"Spokes"接受初始造,在"Hub"接受割;非异形性CTEV患者仅在"Hub"接受管理.
- 主要结果:实现初级纠正. 二次结果:需要转移到"中心"的并发症率. 使用曼-惠特尼U,威尔科克森签名等级和千平方测试进行统计分析.
主要成果:
- 所有92名患者都实现了初级纠正,证明了该模型在实现初级结果方面取得了成功.
- 与Spokes (平均6.9;p < 0.001) 相比,在"中心"治疗的异形病患者需要的造显著减少 (平均4.0).
- 由于造滑落,在"Spokes"观察到更高的并发症率 (60.9%),但这些是可以纠正的,所有患者都实现了完全纠正.
结论:
- "中心和口腔"共享护理模式是提供庞塞蒂治疗CTEV的可行方法,在所有情况下都实现了初级纠正.
- 虽然"Spokes"的并发症率较高,但这些并发症是可以控制的,并且不会阻碍整体治疗的成功.
- 需要进一步的研究来探索这种创新的护理模式的长期结果,患者满意度和成本效益.
更多相关视频
07:20Author Spotlight: Repetitive Transcranial Magnetic Stimulation Combined with Movement Observation in Cerebral Palsy
Published on: August 9, 2024
1.2K
09:51Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators
Published on: March 21, 2018
19.7K
相关概念视频
Aneurysm III: Interprofessional Care
9
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
9
Peripheral Artery Disease III: Interprofessional Care
11
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
11
Patient-centered Care
2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.0K
Tertiary Healthcare System
1.8K
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
1.8K
Specialized Care Centers and Settings-I
948
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
948
Coronary Artery Disease V: Interprofessional Care
9
Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
9
