关于腹腔修复的ERAS协议的共识: ACHQC QI委员会基于证据的建议
Daphne Remulla1, Joel F Bradley2, Winnie Henderson3
1Cleveland Clinic Center for Abdominal Core Health, 9500 Euclid Ave, Cleveland, OH, 44195, USA. remulld@ccf.org.
Hernia : the journal of hernias and abdominal wall surgery
|November 14, 2024
概括
外科手术后增强恢复 (ERAS) 对腹腔修复的协议显示了显著的实践差异. 这项研究确定了共同的主题,以指导制定关于手术的统一ERAS指南.
科学领域:
- 改善外科手术的质量
- Hernia 修复 协议 协议
背景情况:
- 手术后增强恢复 (ERAS) 协议是手术后患者护理的标准.
- 由于缺乏共识的指导方针,目前的做法表现出显著的异质性.
研究的目的:
- 评估ERAS协议中的各个要素,用于美国各机构的腹修复.
- 为在手术中确定ERAS元素提供共识性建议.
主要方法:
- 机构将其ERAS协议提交给腹部核心健康质量协作 (ACHQC) 质量改善 (QI) 委员会.
- 协议元素被分类,主题化,并按患者护理阶段分组.
- 对目前的证据进行了审查,并制定了一份共识声明.
主要成果:
- 分析了来自6个第三级转诊中心的295个元素.
- 这些元素被分为24个主题,分为四个患者护理阶段:入院前优化,手术前,手术内和手术后.
- 为潜在的标准化确定了共同的主题.
结论:
- 这次多机构审查突出了ERAS协议中用于腹修复的共同主题.
- 这些主题可以成为手术中统一的ERAS协议的基础.
- 未来的努力应集中在制定特定的社会指导方针,以加强腹修复的恢复.
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