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检查减肥手术后急诊室的使用情况
Cullen Roe1, Mark Mahan2, Jason Stanton2
1Geisinger Medical Center, 100 North Academy Avenue, Danville, PA, 17821, USA. ecroe@geisinger.edu.
Surgical endoscopy
|April 1, 2024
概括
近20%的患者在减肥手术后90天内使用急诊室 (ED),强调需要改善退院后的教育和沟通,以减少不必要的访问.
科学领域:
- 腹部外科手术的结果
- 医疗保健利用研究研究 医疗保健利用研究
- 外科手术患者管理
背景情况:
- 手术后的急诊室 (ED) 访问被人们理解得很差,导致了大量的医疗保健费用.
- 在减肥手术后量化ED利用率对于确定改进领域至关重要.
研究的目的:
- 分析代谢性减肥手术 (MBS) 后90天内急诊室 (ED) 访问的频率和原因.
- 找出改善患者护理和减轻医疗保健系统负担的机会.
主要方法:
- 对2006年至2019年期间接受代谢性减肥手术 (MBS) 的4703名患者的前性维护数据库的回顾性审查.
- 对退院后30天和90天内ED访问的分析,重点关注与手术的关系和可预防性.
主要成果:
- 19.3%的患者 (907/4703) 在MBS后90天内访问ED;7.4%需要再入院.
- 鲁克斯-en-Y胃绕道 (RYGB) 是最常见的手术.
- 到ED诊所的中位时间为19天,超过一半的患者在介绍之前没有打电话.
结论:
- 减肥干预后手术后的ED利用是显著的,需要进一步调查.
- 改进出院教育和出院后的早期沟通可能会减少ED访问和医疗保健压力.
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