同一天排泄的安全性和有效性,用于早产腹腔复杂除
Mathew S Padanilam1, Parin J Patel2, Sandeep A Joshi2
1Department of Internal Medicine, University of Chicago, 5841 South Maryland Avenue, MC 7082, Chicago, IL 60637, USA.
概括
对于早产腹腔复合体 (PVCs) 进行导管切除 (CA) 后的当天排泄是安全有效的. 这种方法可以降低医疗保健成本,而不会对患者的治疗结果产生负面影响.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
背景情况:
- 由于心室节律失常 (VAs),接受导管切除 (CA) 的患者通常需要因潜在并发症而在医院进行一夜间观察.
- 评估早产腹腔综合体 (PVCs) 选择性CA的当日出院 (SDD) 对于优化患者护理和资源利用至关重要.
研究的目的:
- 评估当天出院 (SDD) 的有效性和安全性,用于接受过早腹腔复合体 (PVCs) 选择性导管切除 (CA) 的患者.
主要方法:
- 在2018年1月至2019年12月期间,对188名接受VA切除术的患者进行了回顾性分析.
- 98名患者接受了PVC切除,其中55人 (56.1%) 在同一天 (SDD组) 按照操作者的裁量出院.
- 主要结局包括30天并发症/死亡率和手术成功.
主要成果:
- 在SDD和非SDD群体之间,人口统计或并发症没有显著差异.
- SDD组没有出现并发症,而非SDD组有一个并发症 (2.3%).
- 急性手术成功率相似:SDD的90.9%,非SDD的88.4%.
结论:
- 对于早产腹腔复合体 (PVCs) 导管切除 (CA) 的同一天出院 (SDD) 是一个可行的策略.
- 在不影响患者安全或程序有效性的情况下,SDD可能会降低医疗保健资源利用率.
- 这种方法为接受选择性PVC切除的患者提供了可行的选择.
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