一个手术前的胃肠道优化方案,以改善内巴克洛芬手术后的结果
Amanda M Mosher1, Emma K Hartman1, Marcella Ruppert-Gomez1
1Department of Neurosurgery, Boston Children'S Hospital, 300 Longwood Avenue, Boston, MA, 02115, USA.
概括
实施手术前胃肠道优化方案显著减少了接受巴克洛芬手术的儿科脑患者的再入院和急诊次数.
科学领域:
- 神经外科 神经外科
- 儿科胃肠病学 儿科胃肠病学
- 医疗保健管理的管理
背景情况:
- 儿童脑患者经常有医学并发症.
- 这些患者在神经外科手术后不成比例地消耗医院资源.
- 内巴克洛芬手术是常见的管理这些患者的性.
研究的目的:
- 实施和评估一个机构的手术前胃肠道 (GI) 优化协议.
- 为了改善神经外科手术后的患者结果.
- 降低儿童脑患者医院资源利用率.
主要方法:
- 进行了对323次内巴克洛芬手术的回顾性审查.
- 手术的分类是基于实施胃肠道优化协议 (2017年7月1日).
- 在协议实施前和后的组之间比较了成果和资源利用情况.
主要成果:
- 胃肠道优化方案显著减少了因为便秘而重入医院的病例 (p=0.001),消除了与胃肠道相关的急诊.
- 观察到,与便秘相关的再入院减少了27天.
- 两组之间没有发现人口统计学,基线胃肠道并发症或术后并发症 (UTI,SSI,CSF泄漏) 的显著差异.
结论:
- 手术前的胃肠道优化方案有效地减少了医院再入院和急诊室访问后的巴克洛芬手术.
- 该协议提高了护理质量,并降低了医院资源利用率.
- 需要进一步的研究,以优化对复杂儿科神经外科患者的护理.
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