周末效应在关节骨折:资源管理的关键作用
J C Segura-Nuez1, M Infantes-Morales2, A García-Hernández3
1Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitario Miguel Servet, Instituto de Investigación Sanitaria Aragón, Zaragoza, Spain.
Journal of healthcare quality research
|April 29, 2025
概括
与周一入院患者相比,周四,周五或周六入院的患者经历了较长的手术延迟. 在关节骨折护理中,这种"周末效应"可能会增加成本和并发症.
科学领域:
- 整形外科手术 整形外科手术
- 老年医学 老年医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- "周末效应"描述了周末晚些时候入院的患者在护理中的潜在延迟.
- 部骨折在老年人中很常见,需要及时进行手术干预.
研究的目的:
- 调查骨折入院周日与手术后时间之间的关联.
- 确定影响老年关节骨折患者手术延迟的因素.
主要方法:
- 对2023年3月至10月期间入院的348名关节骨折患者 (≥65岁) 的回顾性分析.
- 收集的数据包括入院日,患者人口统计,骨折类型和抗凝剂使用.
- 使用多变量分析来确定影响手术时间的因素.
主要成果:
- 与周一入院相比,周四,周五或周六入院显著延长了手术的时间 (p<0.001).
- 抗凝固药物治疗 (维生素K对抗剂,p=0.006;DOACs,p<0.001) 和特定骨折类型 (小写字母,p=0.039) 也延迟了手术.
- 手术的平均时间因入院日而异,周四 (2.94天) 和周五 (3.24天) 的延迟时间最长.
结论:
- 周四,周五或周六的入院与该机构的关节骨折手术的重大延迟有关.
- 这些延误可能会导致医院费用增加和并发症风险增加.
- 优化手术安排可以减轻"周末效应"的负面影响.
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