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室友:双人住宿是否会影响儿科脊髓融合手术的康复?

Alexa P Bosco¹, Margaret L Sullivan¹, Daniel Gabriel²

¹Department of Orthopaedic Surgery, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, 02115, USA.

Spine deformity

|May 2, 2025

概括

在脊髓融合手术后,青少年异常学脊椎病患者的双人客房不会对恢复时间,疼痛评分或阿片类药物使用产生负面影响. 这一发现支持在医院床位空间有限时使用双人房.

科学领域:

整形外科整形外科整形外科
脊柱外科手术脊柱外科手术
医疗保健服务研究医疗服务研究

背景情况:

单人客房被认为可以增强患者的体验.
双人房与噪音增加,睡眠障碍和隐私减少有关.
当医院床位容量有限时,了解房间分配的影响至关重要.

研究的目的:

评估住院病房分配 (单人 vs 双人) 对青少年异常学脊椎病 (AIS) 患者的康复结果的影响,这些患者接受后脊髓融合 (PSF).
具体来说,要评估对逗留时间,疼痛评分和阿片类药物消费的影响.

主要方法:

在2011年至2017年期间接受PSF治疗的635名AIS患者进行了回顾性队列研究.
在单个和双人入住室之间比较手术内和术后的结果,疼痛评分 (NRS) 和阿片类药物管理.
用通用估计方程 (GEE) 模型分析了房间类型和手术后的几天的影响.

主要成果:

在单人房和双人房的患者之间,没有观察到住院时间,并发症率,两年结果,住院疼痛得分或每日阿片类药物使用的显著差异.
调整后的GEE模型显示,房间类型与疼痛评分 (p=0.9) 或阿片类药物总剂量 (p=0.95) 之间没有显著的关联.

结论:

当医院床位空间稀缺时,用于AIS的PSF后的儿科患者的双人入住是可行的选择.
这种做法允许继续选择性手术,而不会影响术后康复结果.

关键词:

青少年的异常学变脊椎病变.住院病人的室友.术后恢复术后恢复

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