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临床药剂师的咨询可以预防腹手术患者的发病率和死亡率吗?
Carmil Azran1,2, Almog Eliyahu Dahan3, Orly Shimoni3
1Department of Medical Technologies, Maccabi Healthcare Services, Tel-Aviv 6772168, Israel.
Journal of clinical medicine
|January 23, 2024
概括
临床药剂师咨询显著减少了腹部外科手术患者的再入院. 这种专业护理改善了患者的安全和长期结果,特别是在复杂的病例中.
科学领域:
- 药理学 药理学是指药理学的学科.
- 外科手术的结果
- 患者安全 患者安全
背景情况:
- 腹腔外科手术是一种复杂的手术,有可能导致长期并发症.
- 优化患者的治疗结果需要多学科的护理,包括专门的药物支持.
- 临床药剂师在管理复杂腹患者中的作用需要进一步研究.
研究的目的:
- 评估临床药剂师咨询对低体重手术患者长期发病率和死亡率的影响.
- 为了比较与药剂师咨询和没有药剂师咨询的患者之间的再住院率和手术并发症.
- 评估药剂师干预对减肥手术队伍死亡率的影响.
主要方法:
- 追溯队列研究,将165名复杂腹患者与药剂师咨询与更大的注册组进行比较.
- 数据收集自赫兹利亚医疗中心和以色列一般减肥注册 (2013-2019) 的数据.
- 主要结局:手术并发症,再入院和一年内死亡率;次要结局:特定间隔的再入院率.
主要成果:
- 与对照组 (19.5%) (p=0.005) 相比,药剂师咨询组 (10.9%) 的12个月再住院率明显较低.
- 手术后并发症率 (2.7%对3.9%) 和死亡率 (0%对0.16%) 没有显著差异,尽管干预组的死亡率为零.
- 早期再住院 (0-30天) 在干预组也显著减少 (1.8%对5.3%) (p=0.046).
结论:
- 临床药剂师咨询与改善患者安全和降低空腹手术后再住院率有关.
- 专门的临床药房服务对复杂的腹患者特别有益.
- 这项研究强调了临床药剂师在减肥手术护理中的宝贵作用,并要求进一步研究.
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