确定创伤患者的手术到非手术护理过渡:重新设计创伤工作流程的时间
Ursula Adams1,2, William Yu Luo1,2, Kevin Chen Wang3
1Division of Acute Care and Trauma Surgery, Department of Surgery, University of North Carolina Hospitals, Chapel Hill, NC, USA.
The American surgeon
|June 27, 2025
概括
使用时间序列分析预测需要外科医生指导的手术,可以优化创伤工作流程. 在第五天之后,需要手术的可能性会下降,这有助于在外科需求高峰期部署资源.
科学领域:
- 创伤外科 手术 创伤外科
- 医疗保健服务研究 医疗服务研究
- 预测分析是一种预测分析.
背景情况:
- 美国面临着越来越多的创伤伤害负担,加上创伤外科医生短缺.
- 非手术因素经常会延长创伤患者住院的时间.
- 不高效的外科手术资源分配影响创伤护理的提供.
研究的目的:
- 开发一个时间序列分析模型来预测外科医生指导的手术在创伤患者的可能性.
- 为创伤中心提供关于重新设计工作流程和优化手术资源部署的信息.
- 确定创伤入院期间手术资源分配的最佳时间.
主要方法:
- 在一级创伤中心对成年创伤患者 (2018-2022) 的回顾性队列研究.
- 分析医院账单和收费数据,以将手术分类为由外科医生指导或非外科医生指导的手术.
- 基于每日入院数据,生成需要外科医生指导的程序的概率.
主要成果:
- 7382名患者接受了3138次一次性手术,82.6%的患者至少接受过一次外科医生指导的手术.
- 需要外科医生指导的手术的可能性每天都在下降,并在入院5天后稳定下来.
- 接受外科医生指导的手术的患者逗留时间略长.
结论:
- 在创伤入院中,从手术到非手术护理的过渡通常发生在第5天之后.
- 这种预测模型可以帮助在手术需求最高的时期结构化和优化手术资源部署.
- 对于复杂的外科干预和不同机构的发现可能会有所不同.
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