非选择性胆囊切除术的护理及时性:手术实践模型的比较
Aricia Shen1, Andrew Wang1, Nicolas Melo1
1From the Division of Acute Care Surgery and Surgical Critical Care, Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA (Shen, Wang, Melo, Chung, Brahmbhatt, Margulies, Barmparas).
Journal of the American College of Surgeons
|April 29, 2025
概括
与其他实践模型相比,急性护理手术 (ACS) 模型为非选择性胆囊切除术提供了更快的治疗. 这种ACS护理的效率确保了及时,高质量的治疗,成本可能更低.
科学领域:
- 手术实践模型 手术实践模型
- 医疗保健效率 医疗保健效率
- 急性护理手术急性护理手术
背景情况:
- 急性护理手术 (ACS) 模型提供了持续的现场存在,以提供适当的护理.
- 讨论了ACS模型与其他外科手术实践模型的比较优势.
- 本研究评估了在四种不同的外科实践模型中对非选择性胆囊切除术 (CCY) 的护理效率.
研究的目的:
- 为了比较四种外科实践模型中非选择性胆囊切除术的护理效率.
- 确定不同实践模式对关键手术结果的影响.
- 为医疗保健系统提供洞察力,优化医疗保健服务.
主要方法:
- 从2018年1月到2023年12月,对从2018年1月到2023年12月的急性胆道疾病中接受CCY的成人患者进行了回顾性分析.
- 患者被分为四组:ACS-主校区 (MC),教师医生 (FP) -MC,私人执业医生 (PPP) -MC和PPP-社区医院 (CH).
- 主要结局包括入院至手术间隔和住院时间;次要结局包括周末手术,费用和再入院.
主要成果:
- 总共分析了2,247个CCY:ACS-MC (43.3%),PPP-MC (28.3%),PPP-CH (19.4%) 和FP-MC (9.0%).这些都是CCY的分析结果.
- 与FP-MC (61.1),PPP-MC (33.2) 和PPP-CH (30.3) (p < 0.001) 相比,ACS-MC显示了最短的入院至手术间隔 (25.1小时).
- 在ACS-MC中,住院时间中位数最短 (2天),在PPP-CH组中观察到最低的成本.
结论:
- 该ACS模型提高了非选择性胆囊切除术的效率,减少了患者等待时间.
- 医疗保健系统可以利用ACS模型提供及时,优质的医疗服务.
- 这些发现表明,ACS模型可以在合并的医疗保健市场中为具有成本效益的外科治疗做出贡献.
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