一个10点的手术前检查清单:选择患者进行门诊关节置换手术
Madhav Chowdhry1, Edward J McPherson2
1Department of Continuing Education, University of Oxford, Oxford, OX1 2JA, UK. Madhav.chowdhry@gmail.com.
Arthroplasty (London, England)
|September 12, 2024
概括
一个新的10点检查清单门诊关节置换 (CO-JR) 计划有助于外科医生选择适合门诊关节置换 (JR) 手术的患者. 这一基于证据的框架促进了安全的患者出院和康复,旨在实现国际采用.
科学领域:
- 整形外科手术 整形外科手术
- 在外科手术后的护理.
- 康复医学 康复医学 康复医学
背景情况:
- 关节置换 (JR) 手术正在从住院设施转移到门诊门诊外科手术中心 (ASC).
- 确保安全的患者出院和康复,而不是再入院,对于门诊JR至关重要.
- 多模式手术前康复 (MMPR) 正在出现,以促进这种过渡.
研究的目的:
- 提出基于证据的10点系统评价,用于选择门诊JR患者.
- 引入检查清单门诊患者关节置换 (CO-JR) 计划,作为外科医生的框架.
- 鼓励开发一个开放式的,可适应的,可供全球使用的系统.
主要方法:
- 根据文献审查和专家经验,制定了一份10点检查清单 (CO-JR).
- 包括患者教育,认知能力,医疗健康和家庭恢复能力等因素.
- 目前,CO-JR计划正在多个机构进行验证.
主要成果:
- 已经建立了一个非专有的10点CO-JR方案.
- 该计划系统地评估患者是否适合进行门诊JR手术.
- 考虑的因素包括对患者准备进行门诊手术的整体观点.
结论:
- 十点CO-JR方案为选择ASC中的JR患者提供了一个框架.
- 我们鼓励对这个开放访问方案进行全球验证和国际共识.
- 该计划旨在适应区域需求,以获得更广泛的适用性.
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