在实施急性护理手术模型后,紧急手术的结果:一个回顾性观察性研究
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Sungyeon Yoo1, Yang-Hee Jun1, Suk-Kyung Hong1
1Division of Acute Care Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Annals of surgical treatment and research
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概括
实施急性护理手术 (ACS) 团队显著减少了紧急手术时间和并发症率. 这种专注的方法改善了紧急外科护理中的患者结果.
科学领域:
- 外科手术 医疗外科手术
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在韩国,每年大约有23000次紧急手术.
- 急性护理外科 (ACS) 团队越来越多地建立起来来管理紧急外科病例.
- 之前的研究表明,ACS团队可以提高外科护理效率和患者的治疗结果.
研究的目的:
- 评估在一个韩国机构实施ACS团队的影响.
- 在ACS团队成立后,评估关键外科指标的变化.
主要方法:
- 单中心,回顾性观察性研究.
- 包括在2014年7月至2016年12月 (ACS前) 和2017年7月至2019年12月 (ACS后) 期间接受紧急手术的成年患者.
- 倾向性得分匹配用于比较ACS前和ACS后组 (每组n=405).
主要成果:
- 在ACS后组中,从急诊室 (ED) 到手术的时间缩短了 (547.8分 vs 476.6分钟,P=0.005).
- 在ACS后的组中,并发症发生率明显较低 (24.7%与16.8%,P<0.001).
- 在手术持续时间,住院时间或死亡率方面没有发现显著差异.
结论:
- ACS团队的实施导致ED-to-operation时间大幅减少.
- ACS团队与急诊外科手术中的并发症率降低有关.
- 专门的ACS团队提高了紧急手术患者的临床结果.
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