在实施电子模型后的结果,用于外科手术期间的血液咨询
David G Su1, Shahyan Rehman1, Kaicheng Wang2
1Department of General Surgery, Yale University School of Medicine, New Haven, Connecticut.
The Journal of surgical research
|June 21, 2024
概括
血液学问题的电子咨询 (e-consults) 改善了解决时间,但没有影响手术结果. 这项研究表明,电子咨询是术后血液学咨询的安全和有效替代方案.
科学领域:
- 医疗信息学 医疗信息学
- 手术结果研究研究.
- 血液学 血液学 血液学
背景情况:
- 2011年,VA康涅狄格州医疗保健系统对周围手术血液学问题的电子咨询 (e-consults) 被实施.
- 该研究调查了电子咨询可用性对转诊模式和外科手术结果的影响.
研究的目的:
- 探索采用电子咨询和外科手术结果之间的关系.
- 分析推模式,并在实施电子咨询后查询量变化.
主要方法:
- 从2006年到2018年进行的术后血液学咨询的回顾性研究.
- 分析患者的特征,适应症和结果,包括咨询解决方案的时间和手术发病率 (Clavien-Dindo分类).
主要成果:
- 从2006年到2018年,年度咨询量增加了5.8倍,电子咨询从2011年的20%上升到2018年的92.3%.
- 与面对面 (FTF) 咨询相比,电子咨询解决时间显著改善 (P < 0.002).
- 在FTF和e-consults之间没有观察到手术发病率,再入院率,再手术或血液学并发症的显著差异.
结论:
- 对于外科手术期间的血液问题,电子咨询被迅速采用,并且比FTF咨询更快地解决.
- 电子咨询的实施并没有改变手术结果或手术时间,尽管咨询量增加了.
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