手术后检查对儿童患者发现并发症的疗效
Alyssa Stetson1, Tommy Kim1, Raissa Li1
1Department of Pediatric Surgery, Massachusetts General Hospital, Boston, MA.
Surgery
|February 4, 2025
概括
儿科手术后计划的后续检查并不能可靠地检测并发症. 转向"根据需要"的随访方法可能会改善外科医生对需要护理的新患者的访问.
科学领域:
- 儿科手术 儿科手术
- 医疗保健服务研究 医疗服务研究
- 患者的治疗结果.
背景情况:
- 新患者的长时间等待延迟了护理,降低了满意度.
- 尽量减少非必要的后续检查,可以增加外科医生的可用性.
- 手术后访问的目的是检测并发症,但检测方法的数据有限.
研究的目的:
- 检查计划后续检查是否有效地检测低风险儿科手术后的并发症.
- 评估预定后续检查访问率对术后并发症检测的影响.
主要方法:
- 一项单一中心的观察性研究分析了2,676名接受尾切除,椎修复,脊髓切除或割礼 (2016-2023) 的儿童的数据.
- 使用当前的程序术语/疾病国际分类代码和图表审查.
- 定义"未被发现的并发症"为那些在计划后续检查之外被诊断出来的并发症.
主要成果:
- 没有发现并发症的中位数为1.4%,不管外科医生计划的后续检查率 (低与高).
- 较高的计划后续检查访问率并没有显著降低未被捕捉的并发症的发生率.
- 手术类型和年轻患者年龄是未发现并发症的主要预测因素.
结论:
- 定期定期的随访并不是在低风险手术后,在健康儿童中捕捉术后并发症的有效方法.
- 采用"根据需要"的随访模式可以提高外科医生的可用性,以便进行新的患者咨询.
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