轻度急性胰腺炎患者的早期出院 - 范围审查
Niels Kant1, Astrid Beij2, Robert C Verdonk3
1Clinical Research Center, Rijnstate Hospital, Wagnerlaan 55, 6815 AD, Arnhem, the Netherlands; Department of Health Technology and Services Research, Technical Medical Centre, Faculty of Behavioral, Management and Social Sciences, University of Twente, Hallenweg 5, 7522 NH, Enschede, the Netherlands.
概括
轻度急性胰腺炎的早期出院是安全和可行的,将住院时间减少到24小时以下. 这种方法可以降低成本,而不会增加再接收或并发症.
科学领域:
- 胃肠病学 胃肠病学
- 临床医学 临床医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 轻度急性胰腺炎是常见的,通常是自我限制的.
- 在门诊支持下提前出院可能会减少医疗需求.
- 对轻度急性胰腺炎的早期出院策略进行审查至关重要.
研究的目的:
- 提供轻度急性胰腺炎早期出院策略的概述.
- 评估这些策略的临床结果,可行性和成本.
- 评估减少住院时间的可能性.
主要方法:
- 在PubMed,Cochrane,Embase和Web of Science的系统文献搜索.
- 确定评估轻度急性胰腺炎早期出院方案的研究.
- 对临床结果,再入院,并发症和成本的分析.
主要成果:
- 确定了五项涉及84-419名患者的研究.
- 早期出院协议导致医院住院时间中位数为6-23小时.
- 没有观察到30天再入院,并发症或死亡率的增加.
- 据报道,大幅降低了43.1%至85.4%的成本.
结论:
- 轻度急性胰腺炎的早期出院是可行的和安全的.
- 需要进一步的研究来优化安全的早期放电协议.
- 早期出院可以显著降低住院医疗保健的利用率和成本.
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