在老年患者中,与同日出院相关的术后发病率
Gabriela E Halder1, Corrie DeGraffenreid2, C Emi Bretschneider3
1Division of Urogynecology, Department of Obstetrics and Gynecology, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX, 77555-0587, USA. gehalder@utmb.edu.
International urogynecology journal
|March 8, 2024
概括
经过脱落修复后的当日泄漏 (POD#0) 可能会增加接受顶端修复的老年妇女的并发症. 过夜 (POD#1) 可能会减少这些特定病例的发病率和再入院率.
科学领域:
- 泌尿和妇科 泌尿和妇科
- 老年人手术是一门老年人手术.
- 患者研究成果研究结果
背景情况:
- 骨盆器官脱落的修复在老年妇女中很常见.
- 优化术后护理,包括出院时间,对这一群体至关重要.
- 目前的指导方针在老年人前落的修复后同日或一夜之间排放是不清楚的定义.
研究的目的:
- 为了比较手术后并发症和老年患者的再入院,经过脱落修复后,分层分为当天出院 (POD#0) 和夜间出院 (POD#1).
- 为了调查是否排放时间影响结果不同基于类型的形修复,特别是形形修复.
主要方法:
- 从国家外科手术质量改善数据库分析了20984名65岁以上的女性,这些女性正在接受形修复 (2014-2020年).
- 在POD#0和POD#1退院组之间比较患者人口统计学,并发症,再入院,再手术和30天的术后并发症.
- 多变量逻辑回归和灵敏度分析,以检测顶脱落修复的结果.
主要成果:
- 与POD#1.0相比,在POD#0出院的患者的整体并发症较少 (2.63%对3.44%) 和再入院 (1.56%对2.18%) 与POD#1.0相比.
- 术后出院日与并发症独立相关,但在整体队列中没有重新入院或重新手术.
- 接受形形修复并在POD#0上出院的老年患者比在POD#1.0上出院的患者有显著更多的并发症 (3.5%vs2.5%) 和再入院 (2.42%vs10.08%).
结论:
- 在老年妇女的形修复后,排放时间应根据手术方法进行个性化.
- 过夜入院 (POD#1) 可能对接受阴道修复的妇女没有好处,但似乎可以降低患病率和重新入院的风险.
相关概念视频
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
84
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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...
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...
84
01:29Appendicitis-II: Diagnostic Studies and Management
80
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
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...
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...
80
01:31Discharge Summary Forms
754
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
754
01:21Planning Nursing Care I
4.4K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.4K
01:26Endoscopic Studies II: Thoracocentesis
258
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
258
01:25Endoscopic Procedures II: Colonoscopy
94
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
94