增强康复大肠切除术后提前出院不会增加急诊室的访问和再接收:单一机构分析分析
Katherine Baur1, Evan M Sood2, Marianne Huebner3
1Department of Surgery, Trinity Health Ann Arbor, Ann Arbor, MI, USA.
The American surgeon
|March 23, 2024
概括
结直肠手术后的当天出院是安全的,急诊室访问或再入院的数量没有增加. 早期出院可能适合在增强康复计划中选择的患者.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 增强的恢复途径
- 患者的治疗结果.
背景情况:
- 增强的恢复途径越来越多地利用结直肠手术后的当天排出.
- 这项研究调查了切除瘤术后早期出院 (1至2日术后) 的安全性.
研究的目的:
- 确定手术后的一天或两天的出院是否与左侧和右侧胆管切除术后急诊室 (ED) 访问和重入医院的增加有关.
主要方法:
- 对前性结直肠外科手术数据库的回顾性分析 (2018年1月7日 - 2022年7月15日).
- 检查了ED访问和再接收率,以提高恢复率. 开放式和最小侵入性切除术.
- 后勤回归模型被用来分析基于排放日的结果.
主要成果:
- 包括820名患者;出院日因诊断而有显著差异.
- 排放组之间的急诊室访问没有显著差异 (P = .096).
- 与早期出院 (POD-0-1) 相比,较晚的出院日 (POD-2,POD-3,POD ≥4) 的整体再接收率没有显著差异. 皮质炎和手术部位感染是常见的再入院诊断.
结论:
- 科切除术后的早期出院 (术后1-2天) 与急救室访问或再入院的增加没有关联.
- 精心挑选的患者在增强的康复计划中可以在同一天出院.
- 需要对标准化后排放资源进行进一步的研究,以支持安全的早期排放.
相关概念视频
Discharge 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
Appendicitis-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
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
80
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...
80
Endoscopic Procedures II: Colonoscopy
90
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:
90
Restorative Care
2.0K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.0K
Endoscopic Procedures V: ERCP
210
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
210


