在同一天的口腔腔切除术后意外返回医院:一项双机构研究
Aaron J Meers1, James D Warren2, Julia Dmowska1
1Department of Otolaryngology - Head and Neck Surgery, University of Missouri School of Medicine, Columbia, MO, USA.
The Annals of otology, rhinology, and laryngology
|February 7, 2024
概括
门诊口腔癌手术后非计划性医院再入院是常见的,通常是由于手术地点的问题. 没有特定的高风险患者群体被确定为这些再入院.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 口腔癌的门诊手术越来越常见.
- 了解再接收率对于患者安全和医疗保健资源管理至关重要.
研究的目的:
- 确定门诊口腔癌切除后30天无计划再入院的比例.
- 确定与这些再入院相关的患者和治疗因素.
主要方法:
- 在两个三级保健中心进行了一项回顾性队列研究.
- 它包括77名接受口腔癌切除术的成年患者,并计划在同一天出院.
- 追踪和分析了30天内未计划的再接收情况.
主要成果:
- 19%的患者 (25%) 在30天内经历了无计划的医院返回.
- 大多数回报 (80%) 与主要的手术部位有关.
- 虽然10%的患者需要住院再入院,但没有发现任何显著的风险因素,尽管重新入院的患者与医院的距离更近.
结论:
- 在门诊口腔切除术后,意外返回医院的情况很常见,主要是由于手术部位的并发症.
- 目前对当日放药的选择标准似乎充足,因为没有特定的高风险子组被确定.
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