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在一个学术中心的整体关节整形术中成功过渡到同一个日历日出院
Candler G Mathews1, Jeffrey B Stambough1, Benjamin Stronach1
1Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Arthroplasty today
|March 25, 2024
概括
在COVID后成功实施了全关节整形术 (TJA) 的同日出院 (SDD),并没有显著增加并发症或再入院. 这种从第二天出院的转变显示了TJA患者管理的前景.
科学领域:
- 整形外科手术 整形外科手术
- 关节整形术是指关节的整形术.
- 患者出院协议 患者出院协议
背景情况:
- 由于COVID-19大流行,由于医院床位短缺,需要将整体关节整形手术 (TJA) 从第二天出院转变为当天出院 (SDD).
- 这次过渡的目的是保持患者护理标准,同时适应紧急情况.
研究的目的:
- 评估实施的全关节整形术 (TJA) 同日出院 (SDD) 协议的成功情况.
- 评估SDD协议对并发症和90天再入院率的影响.
- 确定SDD协议是否在患者选择中引入了差异.
主要方法:
- 一次回顾性审查比较了同一天出院的100名TJA患者 (SDD组) 和第二天出院的100名TJA患者 (SDD前组).
- 数据是从2020年9月1日至2021年3月23日期间在一个学术机构的选择性初级TJA程序中收集的.
主要成果:
- 在SDD组中,98%的患者成功从麻醉后护理单位 (PACU) 出院.
- 90天再入院率从0%上升到2% (P = .4975),整体并发症率从2%上升到5% (P = .4448).
- 在麻醉下操纵率从1%增加到4% (P = .3687).
结论:
- 在TJA,过渡到同日出院成功实施,并没有显著增加并发症或再入院.
- 患者选择标准似乎没有受到SDD协议的改变.
- 建议进行进一步的研究,以在后COVID时代验证这些发现.
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