与马拉维一家三级医院的选择性外科病例取消相关的因素
Paul Serrato1,2, Vanessa Msosa3, Jephta Kondwani3
1Yale School of Medicine, New Haven, Connecticut, USA.
World journal of surgery
|November 19, 2024
概括
在马拉维,取消当天的手术,特别是选择性手术,是常见的. 过程效率低下和设施因素显著影响取消率,许多患者不会返回重新安排的手术.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 外科手术的结果
- 公共卫生 公共卫生
背景情况:
- 同一天的手术取消是一个重大问题,影响了马拉维公共三级医院高达44%的病例.
- 这些取消的原因和后果,包括手术量和完成率,在这个环境中没有系统地监测.
研究的目的:
- 在马拉维的一家公立三级医院,以描述同一天的手术取消情况.
- 为了确定与手术取消和最初取消后完成相关的因素.
主要方法:
- 在卡穆祖中央医院 (KCH) 进行了一项连续的横截面研究,持续了6个月.
- 收集了有关患者人口统计,手术和医院容量的数据.
- 使用双变量和多变量回归模型来分析取消因子.
主要成果:
- 在3121次手术中,28.4%的选择性手术 (747) 被取消,骨科手术的比例最高 (36.5%).
- 与流程相关的因素,如迟到的案件启动 (64.3%),是取消的主要原因.
- 只有40%的取消患者在入院期间接受过手术;诸如紧急状态,当天的第一例病例,手术室的可用性和麻醉师的存在等因素影响了取消几率.
结论:
- 选择性手术取消的主要原因是与流程相关的问题.
- 便利因素为干预提供了减少取消服务的机会.
- 需要对患者的结果进行进一步的研究,因为许多人不会返回重新安排的手术.
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