影响丸扭曲护理延迟的实践模式
Kelley Zhao1, Jennifer Y Lu2, Brian Shkolnik1
1Renaissance School of Medicine at Stony Brook University, Stony Brook, NY.
Urology
|December 3, 2023
概括
老年患者经历丸扭曲管理的延迟,影响丸救援率. 在成年人中增加对扭曲的怀疑可能会改善结果.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 儿科手术 儿科手术
- 紧急医疗 紧急医疗
背景情况:
- 丸扭曲是一种需要及时诊断和治疗的外科紧急情况.
- 管理协议可能因治疗外科医生 (儿科 vs 成人) 和团队 (日间 vs 值班) 而有所不同.
- 患者年龄是影响管理效率和结果的潜在因素.
研究的目的:
- 为了比较值班与白天团队以及儿科与成人护理外科医生对丸扭曲管理的影响.
- 评估患者年龄对丸扭曲诊断和治疗及时性的影响.
- 评估这些变量对丸救援率的影响.
主要方法:
- 在一个机构对134名丸扭伤患者 (2012-2022) 的回顾性研究.
- 使用单变量分析来评估影响管理时间的变量.
- 患者按年龄分层 (≥18岁和<18岁) 来比较结果.
主要成果:
- 在值班和白天团队之间,超声波或手术室 (OR) 的时间没有显著差异.
- 儿科和成人外科医生之间手术时间或丸挽救率没有显著差异.
- 年龄较大的患者 (>18岁) 症状持续时间显著长,超声波和OR的延迟,以及丸挽救率较低的趋势 (48.8%对比31.5%).
结论:
- 患者年龄,不参加外科医生类型或团队,与丸扭曲管理的延迟有关.
- 在成年患者中增加丸扭曲的怀疑可能会提高丸挽救率.
- 优化成年患者的诊断和治疗途径对于更好的结果至关重要.
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