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在整体关节置换后,重新入住非指数医院
Md S R Shawon1, Xingzhong Jin1, Mark Hanly1
1Centre for Big Data Research in Health, University of New South Wales, Sydney, New South Wales, Australia.
在关节或膝关节置换手术后重返另一家医院的患者面临更高的死亡风险. 这一发现无论再入院是因为手术并发症还是其他健康问题,都是如此.
科学领域:
- 整形外科手术 整形外科手术
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 在全关节整形术 (THA) 或全膝关节整形术 (TKA) 后被重新录取到指数医院和非指数医院的患者的结局尚不清楚.
- 了解再接收模式对于改善术后护理和患者安全至关重要.
研究的目的:
- 调查在THA或TKA后重返索引医院的患者与非索引医院的患者的死亡结果是否不同.
- 确定与非指数再录取相关的因素及其对死亡率的影响.
主要方法:
- 对澳大利亚新南威尔士州成年患者的相关医院和死亡记录的分析 (2003-2022年).
- 包括THA或TKA手术后90天内紧急再入院的情况.
- 多变量建模以评估与非指数再录取相关的因素及其与90天和一年死亡率的关联.
主要成果:
- 在394,248名患者中,9.5%的患者重新入院90天,而53.7%的患者进入非指数医院.
- 非指数再入院更常见的是来自私人医院的患者和那些因非骨科疾病被再入院的患者.
- 非指数再录取与90天 (aOR 1.69) 和一年死亡率 (aOR 1.31) 的增加显著相关.
结论:
- 在关节或膝关节置换手术后,重新入院到非指数医院与更高的死亡率有关.
- 这种关联持续不管再入院是由于骨科并发症或其他医疗状况.
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