在NHS的纵向神经外科活动:一个回顾性研究研究
1Imperial College London School of Medicine, London, UK.
British journal of neurosurgery
|November 29, 2024
概括
尽管门诊病例和顾问人数增加,神经外科住院患者的活动仍然停滞不前. 缺乏基础设施扩建可能解释了这一趋势,强调了需要提高国家卫生服务 (NHS) 神经外科的能力.
科学领域:
- 神经外科 神经外科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 自2000年以来,英国国家卫生服务 (NHS) 中的神经外科护理发生了变化.
- 尽管顾问和培训人员人数增加,但等待名单仍然很高.
研究的目的:
- 从2000年到2023年,研究一个NHS机构的神经外科活动的趋势,包括病例,程序,人员和基础设施.
- 评估COVID-19大流行对神经外科服务的影响.
主要方法:
- 从2000年1月到2023年12月的住院和门诊神经外科病例的回顾性分析.
- 使用沙皮罗-威尔克测试,曼-惠特尼U测试和重复测量的ANOVA进行统计分析.
- 使用微软Excel和GraphPad Prism处理的数据.
主要成果:
- 年度住院手术没有显著变化,而门诊病例和选择性手术显著增加.
- 顾问人数的增加与每位顾问住院和门诊活动的减少有关.
- 随着COVID-19大流行,住院患者活动暂时减少,随后出现反弹,超过了大流行前的水平. 没有观察到床位或病房数量的显著变化.
结论:
- 尽管门诊患者数量增加和顾问人员数量增加,神经外科住院患者活动却停滞不前.
- 缺乏基础设施扩建,如床位和剧院,是潜在的限制因素.
- 解决基础设施对于提高NHS神经外科能力和管理患者需求至关重要.
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