影响资源利用的因素 在初级下肢整体关节整形术后的影响因素
Bhumit Desai1, Miguel Jaramillo2, Jimmy Daher2
1Department of Orthopedic Surgery, Ochsner Clinic Foundation, New Orleans, Louisiana; University of Queensland Medical School, Ochsner Clinical School, New Orleans, Louisiana.
The Journal of arthroplasty
|June 6, 2025
概括
膝关节整形术患者,特别是患有纤维肌痛或抑郁症的患者,在术后更多地使用了全关节热线. 这凸显了有针对性的患者支持和资源规划的需要.
科学领域:
- 整形外科手术 整形外科手术
- 患者支持服务服务.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 实施了全关节热线 (TJH),以减少接受全膝关节整形手术 (TKA) 或全关节整形手术 (THA) 的患者的急诊室访问.
- 24小时热线提供了在术后阶段直接接触成年重建护理团队的机会.
- 了解影响TJH利用的因素对于优化患者护理和资源配置至关重要.
研究的目的:
- 确定与使用全关节热线相关的患者和程序相关因素.
- 分析特定的并发症和人口统计数据对热线使用的影响.
- 为了告知术前咨询和术后支持策略.
主要方法:
- 在6个月内从372名接受初级单边TKA或THA治疗的患者收集前性数据.
- 患者在手术前通过腕带获得TJH联系信息.
- 呼叫日志被分析为人口统计学,并发病症和利用模式使用无变量负二项式回归.
主要成果:
- 膝关节关节整形术患者被称为TJH的频率明显高于关节整形术患者.
- 患有纤维肌痛病史,抑郁症或服用精神病药物的患者显示TJH利用率增加.
- 呼叫频率没有受到年龄,性别,体重指数或吸烟状况的显著影响.
结论:
- 膝关节整形术患者,特别是患有纤维肌痛和抑郁症的患者,更有可能利用术后支持热线.
- 研究结果表明,需要针对风险患者群体量身定制的术前优化和术后资源规划.
- 整体联合热线作为一个有价值的工具来管理术后的担忧,并可能减少不必要的急诊室访问.
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