儿科尾切除术后住院和结果之间的关联
Anshul Bhatnagar1, Sean Mackman2, Kyle J Van Arendonk3,4
1Baylor College of Medicine, Houston, TX 77030, USA.
Children (Basel, Switzerland)
|December 23, 2023
概括
儿科尾切除术的结果因医院位置而异. 与农村设施相比,城市学术中心的成本较低,腹腔镜尾切除术的并发症也较少,尽管住院时间较长.
科学领域:
- 儿科手术 儿科手术
- 医疗保健服务研究 医疗服务研究
- 医疗保健管理的管理
背景情况:
- 医院位置和学术地位可能会影响儿科尾切除术的结果.
- 之前的研究缺乏针对不同环境中患者和治疗变化的调整.
- 了解这些差异对于优化儿科外科护理至关重要.
研究的目的:
- 根据医院位置 (城市与农村) 和学术地位,比较儿科尾切除术结果.
- 分析住院对住院总费用 (TAC),住院时间 (LOS) 和术后并发症的影响.
- 通过手术方法分层分析:腹腔镜尾切除术 (LA) 和开放尾切除术 (OA).
主要方法:
- 2016年儿童住院患者数据库 (KID) 的横截面分析.
- 用权重多重线性和逻辑回归模型进行调整的比较.
- 患者数据根据医院位置,学术地位和手术方法 (LA / OA) 分层.
主要成果:
- 城市学术中心 (73%的案例) 使用LA的频率 (91%) 比城市非学术中心 (87%) 和农村中心 (74%) 更高.
- 经过调整后的分析显示,与农村中心相比,城市学术中心的 TAC 降低了 18%,LOS 增加了 11%.
- 城市学术中心与LA (OR 0.787) 后并发症的几率降低有关,但在OA后并非如此.
结论:
- 与农村中心相比,城市学术中心的儿科尾切除手术总入学费用较低,尽管入院时间较长.
- 腹腔镜尾切除术在城市学术环境中更为常见,并且与这些地点的术后并发症较少有关.
- 这些发现强调了医院环境和手术方法在儿科尾切除术成本和结果中的重要性.
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
Appendicitis-I: Introduction
167
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
167
Healthcare Associated Infections II: Preventive Measures
2.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.6K
Hospitals-II
783
Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in...
Nurses that work in...
783
Hospitals-I
849
Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
849


