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术后活动水平与激进囊切除术后出院结果之间的关联
Ryan S Lee1, Mazyar Zahir1, Antoin Douglawi1
1Department of Urology, USC/Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, CA.
Urologic oncology
|March 22, 2025
概括
通过可穿戴健身追踪器 (WFTs) 测量的较低的手术前活动与更长的住院时间和激进囊切除术 (RC) 后更多的护理机构出院有关. 较高的基线活动可能会改善恢复结果.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 老年学是一门学科.
- 康复医学 康复医学 康复医学
背景情况:
- 在急性囊切除术 (RC) 后的康复中,早期的术后行走是至关重要的.
- 可穿戴健身追踪器 (WFTs) 提供客观测量患者活动水平.
- 了解手术前后活动对出院结果的影响对于优化患者护理至关重要.
研究的目的:
- 调查通过WFT量化的术后活动水平与激进囊切除术后出院结果之间的关联.
- 为了确定长时间停留 (LOS) 和护理机构出院的潜在预测因素.
主要方法:
- 一项前性研究,涉及55名接受激进囊切除术 (2017-2019) 的患者.
- 患者在手术前,住院期间和出院后都会佩戴WFT,记录每天的步伐和卡路里消耗.
- 主要结局包括出院安排 (家庭与护理机构) 和长期的LOS (≥5天).
主要成果:
- 被送往护理机构的患者手术前每日步数显著降低.
- 较低的手术前卡路里消耗与长时间的LOS相关 (P < 0.001).
- 住院期间较低的每日卡路里消耗也与长时间的LOS相关 (P = 0.009).
结论:
- 减少手术前的卡路里消耗和步数与激进囊切除术后的不良出院结果有关.
- 较低的基线体力活动可能预测更长的住院时间和更大的护理护理需求.
- 需要对更大的队列进行进一步的研究,以确认这些关联并探索干预措施.
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