试点整体外科手术周边远程医疗用于症状胆固醇病症的选择性胆固醇切除术
Kevin A Martinez1, Aleezay Haider2, Rafiqul Tarefder3
1Department of Surgery, University of Washington, Seattle, WA, USA.
Surgical endoscopy
|January 17, 2025
概括
整体外科手术远程医疗 (TPT) 是一种可行的方法,用于在手术前评估患有胆结石的患者. 这种方法通过尽量减少患者的旅行来显著减少与医疗保健相关的温室气体排放.
科学领域:
- 手术创新 在外科创新.
- 环境健康 环境健康
- 数字健康数字健康
背景情况:
- 远程医疗为改善医疗保健准入和减少环境影响提供了潜力.
- 症状性胆病管理为评估远程医疗的作用提供了机会.
- 传统的面对面评估有相关的环境成本.
研究的目的:
- 评估治疗胆结石病的全周手术远程医疗 (TPT) 的可行性.
- 为了比较TPT的外科和环境结果与传统的面对面评估.
- 为量化TPT的温室气体 (GHG) 排放影响.
主要方法:
- 一项试点研究,比较TPT和选择性胆囊切除术的亲临手术前评估.
- 追溯收集关于不良事件和临床访问的数据.
- 生命周期评估以比较组别之间的温室气体排放量 (kgCO2-eq).
主要成果:
- TPT是可行的,具有类似的不良事件率 (8.3%对12.9%).
- 在TPT患者中,术后访问次数较多 (1.42对1.06).
- 通过TPT,经外科手术期间的温室气体排放量减少了51% (60.2-60.9千克CO2-eq与123.4-123.5千克CO2-eq相比).
结论:
- 整体外科手术周边远程医疗对于选择性胆囊切除术患者来说是一个可行的选择.
- TPT显著减少了手术护理的环境足迹.
- 减少医疗预约的旅行是减少排放的一个关键因素.
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