快速出院和 ostomy 构造后再接收的风险
Kaitlin G Burge1, Hannah Ficarino Sheffer2, Mary Smithson3
1Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL. Electronic address: http://www.twitter.com/kaitlingburge.
骨髓切割手术 (1-2天) 后的快速出院,与标准出院 (3-5天) 相比,不会增加30天的住院再入院. 这支持对精心挑选的瘤患者的早期出院.
科学领域:
- 外科手术的结果
- 患者出院协议 患者出院协议
- 医疗保健管理的管理
背景情况:
- 骨髓切割手术后的快速出院可能会阻碍患者的自我护理准备.
- 这可能会导致医院再入院的增加.
- 这项研究调查了出院时间对复诊率的影响.
研究的目的:
- 评估是否加速放出 (1-2天) 增加了30天的再入院率,相比于非加速放出 (3-5天) 后的骨架构.
- 确定影响加速放电决策的因素.
- 为了告知瘤患者出院的最佳实践.
主要方法:
- 来自美国外科医生学院国家安全和质量改进项目的前性数据库 (2019-2020年) 的回顾性分析.
- 纳入标准:年龄大于18岁,出院回家,术后停留时间为1-5天.
- 多变量后勤回归和部分效应分析,以比较加速和非加速释放组之间的30天再入院率.
主要成果:
- 在13628名患者中,有14.5%的患者获得了快速出院.
- 再接收率相似:13.6% (加快) 和14.2% (非加快) (P = .51).
- 调整后的分析显示,再接收率没有显著差异 (OR,1.08;95% CI,0.94-1.25)).
结论:
- 术后早出院 (1-2天) 与30天再入院的增加无关.
- 研究结果支持在精心挑选的,符合条件的瘤患者中加快出院.
- 手术类型,选择性手术和手术前败血症是加速出院的关键因素.
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