急性无并发性分泌体炎的门诊治疗 (AmbUDiv研究):一个多中心,倾向性得分匹配研究
Ali Yasen Mohamedahmed1, Mohammed Hamid2, Mohamed Issa3
1Department of General and Colorectal Surgery, University Hospitals of Derby and Burton NHS Foundation Trust, Queen's Hospital Burton, Burton on Trent, UK.
International journal of colorectal disease
|November 18, 2024
概括
对于急性无并发性分泌体炎 (AUD) 的门诊治疗是安全有效的. 这种方法导致更低的住院再接收率和与住院护理相比的结果,从而大大节省成本.
科学领域:
- 胃肠病学 胃肠病学
- 外科手术的结果
- 医疗保健服务研究 医疗服务研究
背景情况:
- 急性无并发性分泌炎 (AUD) 管理设置缺乏共识.
- 门诊护理越来越被认为是AUD的可行性.
- 这项研究比较了AUD的门诊与住院治疗.
研究的目的:
- 为了评估门诊与住院治疗AUD的临床结果.
- 为了比较再入院率,手术和放射性干预.
- 评估AUD的门诊护理途径的可行性和有效性.
主要方法:
- 成年患者CT确诊 (Hinchey等级1a) AUD.的回顾性多中心研究 (英国).
- 12个月的数据收集 (2022年1月至12月) 随着1年的后续.
- 1:1倾向分数匹配 (PSM) 来比较门诊和住院途径.
主要成果:
- 包括348名患者;31.3%的人患有复发性疾病.
- 在PSM之后,门诊护理的再入院率较低 (P=0.08).
- 在PSM后的两组之间,手术和放射干预是可比的 (两组均为0%).
结论:
- 门诊护理途径是安全有效的管理AUD.
- 在门诊管理中观察到较低的再入院率.
- 门诊护理提供了潜在的成本节约和更好的资源利用.
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