儿科患者心脏导管术后出院的时间
Ali A Alakhfash1, Abdulrahman A Al Mesned1, Abdulla M Al Qwaiee1
1From the From the Department of Pediatric Cardiology, Prince Sultan Cardiac Center in Qassim, Buraidah, Qassim, Saudi Arabia.
Annals of Saudi medicine
|February 10, 2025
概括
对于大多数患者来说,小儿心脏导管术后的当天出院是可行的,减少了住院时间. 长期住院的关键因素包括新生儿干预和并发症,需要仔细选择患者.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 干预心脏病学 干预心脏病学
- 医疗保健管理的管理
背景情况:
- 在心脏导管术后的当天出院正在探索安全性和效率.
- 实施了一项快速跟踪协议,以促进儿科心脏导管患者在同一天出院.
研究的目的:
- 评估小儿心脏导管术后同日出院的可行性.
- 为了确定与术后长时间住院相关的风险因素.
主要方法:
- 在17个月的时间里,对300例儿科心脏导管病例进行了回顾性审查.
- 收集的数据包括患者人口统计,临床信息,心声和导管细节以及结果.
- 确定并应用了当天放电的标准.
主要成果:
- 67%的患者 (201/300) 在同一天出院,住院时间中位数为8.7小时.
- 在同一天出院的患者中没有报告任何并发症.
- 新生儿状态,复杂的干预 (PDA支架,RVOT支架),大动脉干预和并发症与长时间住院有关.
结论:
- 对大多数儿科心脏导管患者来说,同日出院是可行的.
- 快速通道协议有助于确定适当的放电时间.
- 仔细的患者选择和监测对于安全有效的当天出院至关重要.
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