优化婴儿过度增多型胆道狭窄症的婴儿的吞吐量
Spencer Wilhelm1, Diane Studzinski1, Hossam Alslaim2
1Corewell Health, William Beaumont University Hospital, Department of Surgery, Royal Oak, MI, USA.
American journal of surgery
|February 2, 2024
概括
对于大多数婴儿来说,高发性胆道狭窄症 (HPS) 的当天手术是可行的. 下午诊断通常会推迟手术,增加住院时间.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
背景情况:
- 过度缩小的胆道狭窄症 (HPS) 往往会在最终的手术护理中出现延迟.
- 优化手术前管理对于提高护理效率至关重要.
研究的目的:
- 评估手术前超性胆道狭窄症 (HPS) 管理中的可修改因素如何影响护理效率.
- 确定导致HPS患者手术介入延迟的因素.
主要方法:
- 回顾406名为HPS而经历了脊髓瘤切除术的患者.
- 2008年至2018年间从两个美国儿童医院收集的数据.
- 对手术前管理和手术时间的分析.
主要成果:
- 76%的患者在急诊室诊断时已经准备好接受手术.
- 只有43%的患者在入院当天接受了手术.
- 与早晨诊断相比,下午诊断 (下午12点至下午6点) 与延迟手术 (第二天) 有关 (p < .001).
- 手术延迟与更长的逗留时间相关 (47小时 vs 32小时,p < .001).
结论:
- 大多数过度增殖的胆囊狭窄症 (HPS) 患者可以安全地在同一天接受手术.
- 下午诊断是一种常见的,可修改的因素,导致手术延迟和停留时间增加.
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