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在紧急腹部手术中实施ERAS协议节省了成本
Pietro Bisagni1,2, Vera D'Abrosca3, Vincenzo Tripodi3
1Department of Surgery, Ospedale Maggiore di Lodi, Viale Savoia 1, 26900, Lodi, Italia. pietro1.bisagni@gmail.com.
BMC surgery
|February 23, 2024
概括
在紧急腹部手术中实施手术后增强恢复 (ERAS) 协议可以显著降低成本. 这种方法导致更短的住院时间,并证明对患者具有成本效益.
科学领域:
- 手术创新 在外科创新.
- 卫生经济学 卫生经济学
- 患者的治疗结果.
背景情况:
- 手术后增强恢复 (ERAS) 是选择性手术的标准.
- 在紧急腹部手术中的ERAS缺乏经济影响数据.
- 本研究评估了ERAS在紧急情况下的成本效益.
研究的目的:
- 评估ERAS实施在紧急腹部手术中的成本节约.
- 比较ERAS与传统护理之间的经济影响.
- 分析一个机构内的财务效益.
主要方法:
- 与80名ERAS患者和75名接受胃肠道紧急手术的对照患者进行了比较.
- 记录了对术后护理的遵守,住院时间,发病率和死亡率.
- 进行了成本节约分析.
主要成果:
- 在第二天,ERAS小组实现了50%的术后项目遵守率.
- 在ERAS组中, laparoscopic方法更频繁 (40%对12%).
- 埃拉斯将逗留时间缩短了3天 (9天而不是12天),发病率/死亡率相似.
- 在ERAS组中,每位患者平均节省了1022.78欧元的成本.
结论:
- 在紧急腹部手术中实施ERAS协议是具有成本效益的.
- 埃拉斯导致停留时间大幅减少.
- 在紧急外科护理中,ERAS为每位患者提供了相当大的成本节约.
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