在澳大利亚地区公立医院实施日间关节置换途径:一项描述性研究
Amanda Tutty1,2,3, Sam Martin2,3, Corey Scholes4
1University Centre for Rural Health, School of Health Sciences, University of Sydney, Sydney, New South Wales, Australia.
The Australian journal of rural health
|April 30, 2024
概括
在澳大利亚实施日间关节置换途径证明是可行的和安全的. 这种方法为患者和医疗保健系统提供了潜在的效率效益,患者满意度很高.
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
- 患者研究成果研究结果
背景情况:
- 传统的关节置换手术需要住院一夜.
- 探索更短的逗留时间 (LoS) 选择,如日间逗留途径,对于医疗保健效率至关重要.
- 评估新型手术途径的可行性和安全性对于广泛采用至关重要.
研究的目的:
- 评估日间关节替代途径的实施,可行性和安全性.
- 分析患者选择,出院成功率和失败原因.
- 为了比较结果,包括LoS,患者报告的结果,并发症和满意度,在不同的LoS组.
主要方法:
- 一个12个月的前性描述性分析连续接受全膝关节和关节整形手术的患者.
- 记录符合条件的日间住院患者,成功的当天出院,以及出院失败的原因.
- 收集有关LoS,患者报告的结果,并发症和满意度的数据;通过定性访谈补充.
主要成果:
- 17%的关节置换患者有资格入院;51%的有资格的患者在同一天成功出院.
- 同日出院失败的主要原因包括手术时间延迟和不符合出院标准.
- 总体而言,65%的患者的LOS为2天或更少,患者满意度高,并发症率相当,并且在LOS组中患者报告的结果相等.
结论:
- 日间关节置换途径是一个可行的,安全的,患者可以接受的模型.
- 这一途径表明了患者和系统一级显著效率增长的潜力.
- 在关节置换手术中进一步实施日间停留模型是有必要的.
更多相关视频
03:53Author Spotlight: Regenerative Peripheral Nerve Interface (RPNI) Surgery in Postamputation Pain Management
Published on: March 15, 2024
1.6K
09:51The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
2.6K
相关概念视频
01:21Tertiary Healthcare System
1.8K
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
1.8K
01:11Secondary Healthcare System
1.5K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.5K
01:20Integrated Healthcare System
1.6K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
1.6K
00:59Hospitals-II
781
Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in...
Nurses that work in...
781
01:28Hospitals-I
840
Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
840