急性结肠伪阻塞的管理:改善护理的机会?
Z Khan1,2, C P Challand2, M J Lee1,2
1University of Sheffield, UK.
急性结肠伪阻塞 (ACPO) 管理往往缺乏遵守指南,导致并发症. 只有6.7%的患者获得了最佳的保守护理,这凸显了改善治疗策略的必要性.
科学领域:
- 胃肠病学 胃肠病学
- 外科手术的结果
- 医疗保健管理的管理
背景情况:
- 急性结肠伪阻塞 (ACPO) 呈现为没有机械原因的功能性肠道阻塞.
- ACPO的并发症包括肠道缺血,穿孔和死亡.
- 目前对ACPO的治疗指南已经存在,但遵守需要评估.
研究的目的:
- 为了评估ACPO治疗后患者的结果.
- 评估是否遵守已确定的ACPO治疗指南.
- 确定需要改进的ACPO管理领域.
主要方法:
- 从2018年3月到2023年3月,ACPO患者的回顾性服务评估.
- 通过临床编码和放射学报告来识别患者.
- 从患者笔记收集数据,重点关注从已发布的指南中获得的过程措施的遵守.
主要成果:
- 包括45名被诊断患有ACPO的患者;13名通过整体外科手术进行管理.
- 最佳的保守管理仅在6.7%的患者中进行.
- 在医院获得的肺炎是最常见的并发症 (24%),死亡率发生在9/45名患者中.
结论:
- 通常由全科医生进行的ACPO管理可能会损害保守的护理质量和及时的干预.
- 观察到对指导方针的遵守率低于最佳水平.
- 为了优化ACPO处理方案,需要进一步的研究.
更多相关视频
08:26Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
03:50Acupoint Application Combined with Acupoint Massage for Treating Constipation in a Patient with Chronic Obstructive Pulmonary Disease
Published on: August 18, 2023
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
Endoscopic Procedures II: Colonoscopy
Peptic Ulcer Disease V: Surgical Management and Nursing Care
Surgical Interventions for Peptic Ulcer Disease
Appendicitis-II: Diagnostic Studies and Management
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Esophageal Perforation-II: Clinical Manifestations and Management
Clinical Manifestations:
