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手术后增强康复方案减轻了选择性切除术后周末对逗留时间的影响
Angelina S Kim1, Julie S Hong1, Jared N Levine1
1Department of Surgery, NewYork-Presbyterian Queens, Flushing, New York, United States.
概括
手术后增强恢复 (ERAS) 协议显著降低了周末对选择性切除术停留时间 (LOS) 的影响. 实施ERAS导致更早的康复里程碑,并促进及时的患者出院.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 外科手术的结果
- 医疗保健管理的管理
背景情况:
- 调查了这个问题.
- 周末效应是周末的效应.
- 在手术后的患者结果上.
研究的目的:
- 评估手术后增强恢复 (ERAS) 协议对选择性切除术后周末停留时间 (LOS) 的影响.
主要方法:
- 对2015年1月至2020年12月期间进行的605次选择性结直肠手术进行了回顾性分析.
- 基于手术周的每一天的LOS比较.
- 单变量和多变量分析以评估ERAS协议的影响.
主要成果:
- 不遵循ERAS协议的患者在周一和周二进行手术时,LOS显著降低.
- 在ERAS患者的LOS中没有观察到统计学上显著的差异,这些患者在一周的早期和晚些时候接受了手术.
- 遵守ERAS协议独立地与显著更短的LOS相关 (P < .001).
结论:
- 手术后增强恢复 (ERAS) 协议有效地减轻了周末对LOS的影响.
- 埃拉斯提供了一个结构化的医院课程,使得早期的康复里程碑能够实现,并通过覆盖团队来促进出院.
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