在MBSAQIP中识别风险人群进行重复手术,再入院和干预,使用新型住院术后护理指标
Michael Kachmar1,2,3, Jake E Doiron4,5, Florina Corpodean4,5
1Louisiana State University Health Sciences Center, New Orleans, LA, USA. michael.kachmar@pbrc.edu.
Obesity surgery
|January 30, 2025
概括
在代谢和减肥手术 (MBS) 后,确定患有住院术后护理 (IP-POC) 风险的患者至关重要. 术前因素如GERD,COPD,吸烟和种族显著影响IP-POC的可能性和严重程度.
科学领域:
- 腹部外科 腹部外科
- 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:
- 代谢和减肥手术 (MBS) 是对肥胖和相关代谢疾病的安全有效治疗方法.
- 虽然MBS的安全性有所改善,但由于并发症和再入院,一些患者仍然需要住院术后护理 (IP-POC).
- 识别患有IP-POC风险的患者对于优化护理和资源配置至关重要.
研究的目的:
- 确定和描述在代谢和腹部外科手术 (MBS) 后患有住院术后护理 (IP-POC) 风险增加的患者群体.
- 根据手术前特征开发一个模型来预测IP-POC的可能性和严重程度.
主要方法:
- 利用了2015-2021年MBSAQIP数据库,包括超过973,000例常见MBS程序的初级病例.
- 排除了转化,儿科病例和随访时间小于30天的患者.
- 计算了IP-POC严重性得分,并使用零膨胀的Poisson模型来确定风险因素.
主要成果:
- 手术前的GERD,COPD,吸烟和特定的MBS程序与更高的IP-POC发病率和严重程度有关.
- 男人增加了严重程度,但降低了可能性,而黑人和西班牙裔种族增加了可能性,但不是严重程度.
- IP-POC分数值≥6和≥10分别预测了主要不良心血管事件 (MACE) 和30天死亡率.
结论:
- 一个加权的IP-POC模型有效地将术前因素与IP-POC增加的可能性和严重程度联系起来.
- 这些发现增强了对MBS患者护理动态的理解.
- 结果可以为患者咨询,术后方案和资源分配提供信息,以改善MBS结果.
相关概念视频
Healthcare Associated Infections II: Preventive Measures
2.4K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.4K
SBAR II: Application of SBAR
4.3K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.3K
Health Information Technology and Healthcare Information System
795
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
795
Documentation in Long-Term and Home Healthcare Setting
870
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
870
Methods of Documentation VI: Case Management Model
559
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
559
SBAR I: Understanding the Concept
4.3K
Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
Standardized methods of communication have been developed to ensure that information is...
4.3K


