膝关节整形术后从手术结束到出院的时间:对当天出院的影响
Maveric Abella1, Vera Ong1, Krystin Wong1,2
1John A Burns School of Medicine, 651 Ilalo Street, Honolulu, HI, 96813, USA.
Archives of orthopaedic and trauma surgery
|May 28, 2024
概括
在全膝关节整形术 (TKA) 后,同日出院 (SDD) 在社区医院平均为6小时. 退院时间与患者因素无关,而是与手术安排有关,突出显示了需要有效的退院途径.
科学领域:
- 整形外科手术 整形外科手术
- 关节质整术是指关节质整术.
- 患者出院管理 患者出院管理
背景情况:
- 对于全膝关节整形术 (TKA) 的同日出院 (SDD) 的有效安排对于医院的运作至关重要.
- 了解出院时间表和影响因素是优化TKA患者流动的关键.
研究的目的:
- 评估在社区医院环境中接受单边TKA的患者从手术完成到出院的平均时间.
- 为了确定患者的特征和与TKA后成功的SDD相关的术前因素.
主要方法:
- 在单方面TKA后获得SDD的75名患者的回顾性审查.
- 计算从手术结束 (服装应用) 到医院出院的时间.
- 分析出院时间与患者人口统计,BMI和手术开始时间之间的相关性.
主要成果:
- 单边TKA出院的平均时间为5.8小时.
- 与中午后完成的手术相比,在中午之前完成的手术的出院时间明显更长 (p=0.046).
- 没有发现出院时间与患者年龄或BMI之间有显著的相关性.
结论:
- 在社区医院环境下单方面TKA后达到SDD的平均时间约为6小时.
- 外在因素,特别是手术安排,似乎比患者内在特征更能影响出院时间.
- 优化SDD的成功需要专注于有效的出院途径,而不是仅仅关注患者特定的因素.
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