在住院两天后影响关节骨折手术的因素使用国家行政数据库
Donggyo Shin1, Tinyami Erick Tandi2,3, Sang Mi Kim4
1Head of Department Medical Record Service Team, National Health Insurance Service Ilsan, Hospital, 100, Ilsan-Ro, Ilsandong-Gu, Goyang-Si, Gyeonggi-Do, Republic of Korea.
Scientific reports
|July 29, 2024
概括
建议在两天内进行关节骨折手术,但往往会推迟. 早期手术缩短了住院时间,尽管在本研究中,它没有显著影响死亡率或并发症. 对于高风险患者来说,及时干预至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 关节骨折是一个日益严重的全球健康问题,特别是随着人口老龄化.
- 及时的手术干预 (2天内) 对于提供优质的护理和尽量减少并发症至关重要.
- 影响延迟关节骨折手术和患者结果的因素需要进一步调查.
研究的目的:
- 分析韩国住院两天内发生关节骨折手术的发生率.
- 为了确定与延迟手术干预相关的患者和入院相关因素.
- 研究早期手术对住院死亡率,并发症和住院时间的影响.
主要方法:
- 使用韩国国家行政数据库.
- 分析了关节骨折患者的数据,以确定手术时间.
- 采用后勤回归来识别与延迟手术及其结果相关的因素.
主要成果:
- 只有40.6%的关节骨折患者在推的两天窗口内接受手术.
- 手术延迟与男性性别,医疗援助受益者身份,更高的并发症指数,周末入院和门诊病房入院有关.
- 开放式减少和内部固定 (ORIF) 与延迟手术的风险较低有关.
- 早期手术与总体和术后停留时间的缩短有关,但没有显著影响住院死亡率或并发症.
结论:
- 发生关节骨折手术的显著延迟,受患者和系统因素的影响.
- 虽然早期手术并没有减少死亡率或并发症,但它缩短了住院时间.
- 建议立即进行手术干预,特别是对于高风险的关节骨折患者,需要进一步研究最佳时间和结果.
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