一个拟议的患者选择算法,用于整体关节关节整形手术,在同一天从门诊手术中心出院
Jonathan Liu1, Andrea Gilmore2, Mohammad Daher1
1Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island.
The Journal of arthroplasty
|November 9, 2024
概括
整体关节整形术 (TJA) 的同日出院 (SDD) 是安全有效的,在本研究中成功率为99.2%. 基于证据的算法可以指导患者选择SDD TJA.
科学领域:
- 整形外科手术 整形外科手术
- 关节质整术是指关节质整术.
- 患者的治疗结果.
背景情况:
- 整体关节整形术 (TJA) 的同日出院 (SDD) 需要仔细选择患者,以确保安全性和最佳结果.
- 门诊外科中心 (ASC) 越来越多地进行TJA,需要有效的出院协议.
研究的目的:
- 在单个ASC调查SDDTJA后的患者结果.
- 提出一个基于证据的算法,用于SDD TJA的患者选择.
主要方法:
- 在2019年7月至2021年10月期间,对660名接受初级TJA (全膝关节整形手术[TKA]和全关节整形手术[THA]) 的患者进行了回顾性图表审查.
- 收集的数据包括成功的SDD,手术长度,估计的血液损失 (EBL),并发症和再入院.
主要成果:
- 总体而言,SDD成功率为99.2% (TKA为99.7%,THA为98.8%).
- 并发症发生在6.0%的TKA和4.6%的THA中.
- 体重指数,并发症和EBL与特定并发症有关,但没有患者特征与直接入院直接相关.
结论:
- 在ASC环境中,SDD TJA显示了术后并发症和住院率较低.
- 提出的基于证据的算法支持SDD TJA对精心挑选的患者的安全性和可行性.
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