对于紧急尾切除术,需要进行常规的手术前小组和保存检测
Basil Ibrahim1, Emmanuel Obayi2, Mohammed Barghash2
1Surgery, Manchester Foundation Trust, Manchester, GBR.
Cureus
|January 1, 2024
概括
在尾切除术前进行例行预外科组和保存 (G&S) 测试通常是不必要的,因为没有患者需要输血. 重新考虑这种做法可以为NHS节省大量成本.
科学领域:
- 一般外科 整体外科
- 手术病理学手术病理学
背景情况:
- 手术前的组和保存 (G&S) 测试是手术前的常规程序.
- 这种做法可能会导致医疗保健费用增加和运营延误.
研究的目的:
- 评估尾切除术前G&S检测的必要性.
- 评估G&S常规测试的财务影响.
主要方法:
- 对200名接受紧急尾切除术的患者进行了回顾性分析.
- 收集的数据包括患者人口统计,G&S样本要求和外科手术期间输血需求.
- 遵守加强对外科队列研究 (STROCCS) 报告准则.
主要成果:
- 93.5%的患者进行了手术前的G&S测试,但没有人需要术后输血.
- 有相当数量的患者需要多次G&S样本,因为拒绝或之前的样本.
- 估计G&S样本的成本超过3,500英.
结论:
- 紧急尾切除术具有很低的需要输血的风险.
- 消除对尾切除术的常规手术前G&S测试,可以为国家卫生服务 (NHS) 提供经济利益.
- 建议在G&S测试中实施风险效益分析.
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