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与30天再入院相关的因素 手术患者 手术患者
Gabriela Sendek1, Paige Benyamein1, Rachel Segal2
1University of California, San Diego, USA.
概括
吸烟,滥用酒精,营养不良和无家可归等因素与手术患者的再入院率更高有关. 有针对性的干预措施可能有助于减少这些再接收.
科学领域:
- 整形外科手术 整形外科手术
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 对于手术患者的医院再入院造成了相当大的医疗保健费用.
- 负担得起的医疗法案 (ACA) 规定了对具有高再录取率的医院的处罚.
- 了解与再接收相关的因素对于改善患者护理和降低成本至关重要.
研究的目的:
- 确定手部手术患者30天再入院的相关因素.
- 为减少再接收率和相关处罚的战略提供信息.
主要方法:
- 在2016年1月1日至2019年12月31日期间入院的566名手术住院患者的回顾性图表审查.
- 收集的数据包括人口统计,社会史,医学并发症和手术细节.
- 使用多变量回归分析来确定与再接收相关的因素.
主要成果:
- 烟草吸烟,咬伤,撕裂伤口,撕裂修复,开放缩减内部固定和转移到熟练护理机构与再入院有关.
- 对于急诊室干预的患者,酒精使用,无家可归和营养不良也与再入院有关.
结论:
- 诸如吸烟和滥用酒精,营养不良和无家可归等因素是立即无法弥补的,应该考虑对处罚豁免.
- 包括戒烟,解毒,住房援助和营养支持在内的有针对性的干预措施可以降低再接收风险并改善患者的治疗结果.
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