门诊外科手术术后术行走和急诊室使用情况
Danielle Abbitt1,2, Kevin Choy3, Jake Cotton3
1Department of Surgery, University of Colorado School of Medicine, 12631 E 17th Ave, C-305, Aurora, CO, 80045, USA. danielle.abbitt@cuanschutz.edu.
Surgical endoscopy
|November 28, 2023
概括
术后行走是门诊手术后恢复的关键. 65岁以下的成年人在一周内没有恢复每天的步数,他们访问急诊室的可能性是6倍.
科学领域:
- 手术结果研究研究.
- 医疗保健中的可穿戴技术
- 老年人手术是一门老年人手术.
背景情况:
- 健行是手术后健康和康复的关键指标.
- 传统的自我报告步行测量容易产生偏见.
- 可穿戴活动监测器为评估术后恢复提供客观数据.
研究的目的:
- 在一般外科门诊患者中使用加速度计来评估术后行走.
- 测试该假设,减少术后行走预测不良结果.
- 为了确定在门诊腹部手术后流动性下降的风险.
主要方法:
- 对接受门诊腹部手术的106名患者的回顾性审查 (2016年11月 - 2019年7月).
- 患者在手术前和手术后都戴着加速度计,以测量每天的步数.
- 结果包括30天的再入院和急诊室 (ED) 的利用;行走与手术前基线进行了比较.
主要成果:
- 老年患者 (≥65岁) 在术后第7天不太可能达到他们的手术前基线 (35%vs61%).
- 成年患者 (65岁以下) 在一周内未能达到基线,ED利用率较高 (24%vs4%).
- 不能达到基线的老年患者显示出增加ED访问的趋势 (19%vs7%).
结论:
- 成年患者 (65岁以下) 在一周内没有恢复到他们的手术前步数,需要ED访问的可能性是6倍.
- 手术后的行走水平可以预测外科手术后的ED利用率和康复轨迹.
- 使用可穿戴技术对行走的客观测量可以为恢复监测和风险分层提供信息.
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