在上肢骨折手术后,无计划的术后急诊室访问
Jonathan Lans1, Clay B Beagles2, Ian T Watkins1
1Harvard Combined Orthopaedic Residency Program, Massachusetts General Hospital, Harvard Medical School, Boston, MA; and.
Journal of orthopaedic trauma
|October 3, 2024
概括
上肢骨折的门诊手术增加了急诊室的访问量,特别是对于疼痛. 吸烟者,患有更多并发症的人以及非白人患者的ED访问率也更高.
科学领域:
- 整形外科手术 整形外科手术
- 医疗保健服务研究 医疗服务研究
背景情况:
- 上肢骨折手术后的术后急诊室 (ED) 访问是一个问题.
- 了解这些访问的风险因素对于改善患者的治疗结果和资源配置至关重要.
研究的目的:
- 为了确定门诊上肢骨折手术是否与术后ED访问的增加有关.
- 为了确定这些ED访问的患者和程序相关的风险因素.
主要方法:
- 追溯队列研究,包括2015年至2021年期间接受上肢骨折手术的成年患者.
- 使用多变量逻辑回归分析来确定与30日和90日术后ED访问相关的因素.
- 研究的风险因素包括手术环境,吸烟,并发病,种族和骨折位置.
主要成果:
- 门诊手术与30天ED访问的更高率有关 (2.8%对住院患者的3.4%).
- 30天ED访问的主要风险因素包括门诊手术,吸烟,较高的并发症得分,非白人种族以及特定的骨折位置 (肘部,手).
- 疼痛是急救诊所访问最常见的原因 (20%).
结论:
- 门诊上肢骨折手术与30天术后急救诊所访问率的增加有关.
- 吸烟,并发病率增加和非白人种族是频繁出现手术后ED的重要危险因素.
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