宫椎间盘置换后非家庭出院的预测因素
Tejas Subramanian1,2, Junho Song1, Yeo Eun Kim1
1Hospital for Special Surgery.
Clinical spine surgery
|July 2, 2024
概括
年龄较大,西班牙裔种族,BMI较高,住院时间较长增加了宫椎间盘置换术 (CDR) 后非家庭出院的风险. 门诊手术与非家庭出院的风险较低有关.
科学领域:
- 脊柱手术的结果 脊柱手术的结果
- 医疗服务研究 医疗服务研究
背景情况:
- 在宫椎间盘置换 (CDR) 术后,确定非家庭出院的因素对于优化患者流动和减少住院时间至关重要.
- 之前的研究没有确定CDR后非家庭出院的预测因素.
研究的目的:
- 为了确定与CDR后非家庭出院相关的患者和手术因素.
- 帮助进行术前风险分层和术后出院规划.
主要方法:
- 美国外科医生学院国家外科质量改进计划 (ACS-NSQIP) 数据库的回顾性审查.
- 在2011年至2020年期间,对7276名接受初级1或2级CDR的患者进行了分析.
- 多变量波桑回归用于识别非家庭出院的预测因素.
主要成果:
- 1.3%的患者 (94/7276) 被送往非家庭目的地.
- 非家庭出院的预测因素包括年龄较大,西班牙裔种族,较高的BMI,ASA类≥3,更长的住院时间和延长的手术时间.
- 门诊外科手术环境是防止非家庭出院的保护因素.
结论:
- 年龄,种族,BMI,ASA类和长时间住院/手术时间独立预测CDR后非家庭出院.
- 门诊手术与非家庭出院的可能性降低有关.
- 这些发现可以更好地进行手术前风险评估,并促进及时出院,从而可能降低医疗保健成本.
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