护理的碎片化与大肠静脉创建后的死亡率增加有关
Shineui Kim1, Joseph Hadaya2, Kole Joachim3
1Cardiovascular Outcomes Research Laboratories (CORELAB), University of California Los Angeles, CA. Electronic address: https://twitter.com/shineeshink.
Surgery
|December 31, 2023
概括
结节切除手术后护理的分散性显著增加了死亡风险和术后并发症. 改善护理连续性对于减少这些患者的不良结果和医疗保健成本至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 外科手术的结果
- 医疗保健服务研究 医疗服务研究
背景情况:
- 结节术是胃肠道疾病的关键手术.
- 护理的分散,患者在不同的设施接受护理,造成并发症和再入院的风险.
- 了解护理碎片化对结节切开术患者的影响至关重要.
研究的目的:
- 为了研究护理碎片化和结患者的不良结果之间的关联.
- 分析护理分散对住院费用的影响.
- 为了识别与碎片化护理相关的风险,在伊利奥斯托米群体.
主要方法:
- 利用全国再接收数据库 (2016-2020年) 来查看成人结节管切除术住院情况.
- 包括在出院后90天内重新入院的患者.
- 定义了护理碎片化,即在不同于索引结节瘤位置的不同设施接受治疗,并采用了多变量回归.
主要成果:
- 在52,254名骨髓切除术患者中,17.3%的患者经历了护理碎片化.
- 分断的护理与增加死亡率 (aOR1.81),心脏 (aOR1.63),呼吸道 (aOR1.71),传染病 (aOR 1.33) 和血栓栓塞 (aOR 1.28) 并发症的几率有关.
- 护理的碎片化与更高的住院费用 (+ 1,700 美元) 有关.
结论:
- 结节切除术患者的护理碎片化增加了死亡率,并发症和医疗费用的风险.
- 未来的研究应该专注于医院间的沟通,以改善护理连续性.
- 优化为分散的护理人群提供医疗保健是必要的,以减轻不良结果.
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