谁可以在成年脊柱形手术后出院?
Soren Jonzzon1, Hani Chanbour1, Graham W Johnson2
1Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville, TN 37212, USA.
Journal of clinical medicine
|April 9, 2024
概括
大约50%的成年脊柱形手术患者在手术后回家. 一个新的评分系统根据年龄,并发病症和手术细节等因素预测非家庭出院.
科学领域:
- 整形外科手术 整形外科手术
- 脊柱外科手术 脊柱外科手术
- 变形纠正 变形纠正 变形纠正
背景情况:
- 在成年脊柱形 (ASD) 手术后,在住院康复 (IPR) 或熟练护理设施 (SNF) 的术后康复是常见的.
- 患者更喜欢在家出院,可以降低成本.
研究的目的:
- 为了确定ASD手术后家庭出院的发生率.
- 确定预测家庭出院的因素,并开发一个评分系统.
- 评估出院处置对患者报告结果指标 (PROM) 的影响.
主要方法:
- 从2009年到2021年,对221名接受ASD手术 (≥5级融合) 的患者进行了回顾性队列研究.
- 对术前,术后和放射数据的分析.
- 开发和验证一个评分系统来预测非家庭出院.
主要成果:
- 50.6%的患者被送回家; 32.2%的IPR,17.2%的SNF.
- 与家庭出院相关的因素包括年龄较小,并发症较少,高血压较少,仪器水平较少,手术时间较短,血液损失较少,住院时间较短.
- 结合年龄,并发症,高血压,仪表水平,手术时间,血液损失和放射性参数 (SVA,PT,T1PA) 的评分系统预测了非家庭出院,AUC为0.75.
结论:
- 大约一半的ASD手术患者可以在家出院.
- 经过验证的评分系统可以预测非家庭出院,有助于术后规划.
- 结果可以指导患者的期望和资源分配,用于ASD手术恢复.
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