优化剧院用于液排水的利用:超越优先类别
Phillip F Yang1,2,3, Lily Builth-Snoad1, Kheng-Seong Ng1,2,4,5
1Department of Colorectal Surgery, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
ANZ journal of surgery
|March 1, 2024
概括
在澳大利亚实施一次急性一日外科手术 (ADOS) 计划用于液排水是可行的和安全的. 这一举措可以减少住院时间和医院费用,而不会影响患者的治疗结果或影响整个急诊室工作流程.
科学领域:
- 手术方面的创新.
- 医疗服务研究 医疗服务研究
- 紧急医疗 紧急医疗
背景情况:
- 在澳大利亚,仅在白天进行液排水的紧急手术是未充分利用的.
- 这项研究评估了急性一日外科手术 (ADOS) 程序的可行性和影响,用于腹管理.
研究的目的:
- 评估排水的ADOS程序的可行性,患者的结果,成本效益和对剧院工作流程的影响.
- 为了比较ADOS实施前后的结果.
主要方法:
- 采用了追溯的前后实施研究设计.
- 接受液排水的患者在ADOS前期 (6个月) 和ADOS时代 (12个月) 之间进行了比较.
- 主要结果是住院时间 (LOS);次要结果包括30天的并发症,成本和剧院工作流量指标.
主要成果:
- 中位数LOS从30.1小时 (ADOS前) 显著下降到21.9小时 (ADOS时代),ADOS途径患者的平均时间为10.2小时.
- 在30天的并发症,复发或瘤复发率方面没有发现显著差异.
- 在ADOS时代,每名患者的平均成本降低了 (4155美元与4916美元).
结论:
- 腹排水的急性一日期手术是一种可行的和安全的模型.
- 该ADOS计划显示显著的成本节约和减少住院时间.
- 实施不需要显著的额外资源,也不会对其他紧急程序产生负面影响.
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