评估苏丹公立医院的例行手术前检测实践2024:一个多中心前性研究
Alaelddin Mohammed1, Eltayeb Abdalla2,3
1Neelain University, Khartoum, Sudan.
Perioperative medicine (London, England)
|April 8, 2025
概括
苏丹医院经常过度使用例行手术前检查,99%的患者接受不必要的检查. 遵守国家卫生和护理卓越研究所 (NICE) 的指导方针对于降低成本和改善患者护理至关重要.
科学领域:
- 医学研究 医学研究
- 临床实践指南 临床实践指南
- 卫生经济学 卫生经济学
背景情况:
- 尽管存在指导方针,但常规的手术前检测仍然很普遍,导致财务负担和护理延迟.
- 需要根据特定医疗保健机构的既定建议评估当前的做法.
研究的目的:
- 评估例行手术前检查的实践.
- 评估苏丹国家卫生和护理卓越研究所 (NICE) 准则的遵守情况.
主要方法:
- 未来的多中心研究于2024年1月在阿特巴拉,申迪和苏丹港的公共医院进行.
- 研究了90名接受选择性手术的成年患者.
- 在麻醉前检查期间收集的数据被评估是否符合NICE指南.
主要成果:
- 几乎所有患者 (99%) 接受了至少一个不必要的手术前检查.
- 根据NICE指南,超过一半 (53.2%) 的所有要求调查被认为是不必要的.
- 美国麻醉学会 (ASA) 的地位和手术等级预测了不必要的测试请求.
结论:
- 在苏丹公立医院观察到大量的手术前检测过度使用.
- 承认指导方针,提高临床医生的意识和监测实施对于解决过度利用至关重要.
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