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周末选择性儿科手术的趋势和结果

Charesa J Smith¹, Gwyneth A Sullivan¹, Audra J Reiter¹

¹Division of Pediatric Surgery, Department of Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; Northwestern Quality Improvement, Research, & Education in Surgery, Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

Journal of pediatric surgery

|October 2, 2024

概括

周末选择性的儿科手术是不常见的和稳定的. 与平日手术相比,它们没有显示出并发症或死亡率的显著增加,尽管成本略高.

科学领域:

儿科手术儿科手术
医院运营医院运营
医疗保健管理的管理

背景情况:

手术室的可用性是选择性外科手术安排的一个关键限制.
利用周末进行选择性手术可以提高医院的容量.
增加产能与实际和安全考虑之间的平衡至关重要.

研究的目的:

分析周末进行的选择性儿科手术的趋势.
为了比较结局,包括并发症和成本,周末与周日可选儿科手术.

主要方法:

使用儿科健康信息系统数据库 (2016-2019) 进行的回顾性队列研究.
分析了38家医院的6个常见的儿科手术.
时间趋势的曼-肯达尔趋势测试和结果比较的多变量回归.

主要成果:

在233,266次选择性手术中,只有0.15%发生在周末,随着时间的推移,比例稳定.
周末和周日手术之间没有发现外科并发症 (aOR 1.59) 或死亡率的显著差异.
与周末手术相比,周末手术的额外费用较小 (比312美元).

结论:

周末的选择性儿科手术很少发生,而且稳定.
周末手术不会显著增加并发症或死亡率.
需要进一步评估,以探索患者/提供者的满意度,资源成本,以及为安全扩展周末外科服务的病例选择.

关键词:

选择性的周末外科手术.运营能力运营能力.趋势趋势趋势周末的效应周末的效应

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