骨折患者的医院转移与更高的成本和死亡率有关
Catherine E T Hutchison1, Genevieve Rollier2, Hsin-Fang Li3
1Oregon Health & Science University, Department of Orthopaedics and Rehabilitation, Portland, Oregon.
The Journal of arthroplasty
|March 19, 2025
概括
转移移位的部部骨折患者导致更长的手术时间,增加死亡率和更高的成本. 优化这些患者的护理对于更好的结果和效率至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 创伤护理 创伤护理
- 卫生经济学 卫生经济学
背景情况:
- 骨折,特别是排位大腿部骨折 (DFNFs),在患者管理中带来了重大挑战.
- 从外部医院转移患有DFNF的患者可能会影响临床结果和医疗保健支出.
研究的目的:
- 通过急诊室 (ED) 接收的DFNF患者的手术管理结果与从其他设施转移的患者进行比较.
- 分析到手术的时间差异,患者的治疗结果,以及ED患者到来和转移患者之间的相关成本.
主要方法:
- 在2020年5月至2022年12月期间,对459名手术管理的DFNF患者 (年龄≥65岁) 进行了回顾性审查.
- 患者被分为"ED到达"和"转移"组,以对人口统计,手术时间,停留时间,出院,一年的再入院,重新手术,死亡率和成本进行比较分析.
主要成果:
- 转移患者从呈现到手术的中位时间 (41.6小时与23.2小时) 显着更长.
- 虽然住院时间和出院情况相似,但转移患者的1年死亡率较高 (27.0%对13.5%),护理总成本增加 (23,521美元对13,980美元).
- 调整后的分析显示,转移患者的1年死亡率是转移患者的2.6倍.
结论:
- 转移DFNF患者与延迟手术干预,增加1年死亡率和增加医疗保健成本有关.
- 为了提高效率,安全性和成本效益,需要简化转移DFNF患者的护理策略.
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