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常规骨科植入物切除的负担 一个单一中心的回顾性研究
Ammar K AlOmran1, Nader Alosaimi1, Ahmed A Alshaikhi1
1Department of Orthopedic, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam 31441, Saudi Arabia.
World journal of orthopedics
|March 11, 2024
概括
常规的植入物切除导致不必要的并发症和长时间住院,给患者和医疗保健资源造成负担. 这项研究强调需要明确的指导方针,以有效管理植入物切除实践.
科学领域:
- 整形外科手术 整形外科手术
- 医疗保健管理的管理
背景情况:
- 开放式缩减和内部固定是常见的骨科手术.
- 关于移除无症状植入物存在争议.
- 在植入物保留与移除方面需要达成共识.
研究的目的:
- 量化例行性植入物切除对患者的影响.
- 评估医疗保健设施的负担.
主要方法:
- 从2016年到2022年,在大学国王法哈德医院 (KFHU) 进行了167例例常规植入物切除病例的回顾性分析.
- 排除非例行病例 (感染,疼痛,失效) 和特殊程序 (外部固定器,关节置换).
主要成果:
- 44%的病例需要住院超过一天; 55%的成年人需要长时间住院,而22%的儿科患者需要长时间住院.
- 观察到6%的并发症率,所有患者至少有一次并发症.
- 34.1%需要病假,4.8%需要超过14天的工作假.
结论:
- 常规的植入物切除会导致可避免的并发症和延长的住院治疗.
- 这种手术耗费了医院的资源,包括手术室的可用性.
- 制定机构指导方针对于规范植入物切除至关重要.
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