预期处置的变化防止在全关节关节整形术后及时出院
Rade R Jibawi Rivera1, Ye Lin1, Julio C Castillo Tafur1
1University of Illinois, Chicago, Department of Orthopaedics, Chicago, Illinois.
Journal of surgical orthopaedic advances
|June 27, 2025
概括
术前处置计划显著影响整体关节整形术 (TJA) 停留时间 (LOS). 计划中的患者倾向的变化,无论是更高或更低的护理水平,都会增加TJA后的LOS.
科学领域:
- 整形外科手术 整形外科手术
- 医疗保健管理的管理
- 患者的治疗结果.
背景情况:
- 整体关节整形术 (TJA) 是一种常见的手术,需要大量的资源.
- 优化住院时间 (LOS) 对医院效率和患者康复至关重要.
- 有效的手术前规划对于管理患者期望和资源配置至关重要.
研究的目的:
- 评估手术前处置计划对接受TJA的患者LOS的影响.
- 识别导致延长LOS超出最初预测的因素.
- 分析调节变化和延长住院时间之间的关系.
主要方法:
- 对679名接受初级TJA治疗的患者进行了回顾性图表审查.
- 对人口统计,社会因素和风险评估和预测工具 (RAPT) 评分的分析.
- 预测与实际LOS的比较以及超过预期停留时间的患者的处置情况.
主要成果:
- 平均预测的LOS为2.4天;平均实际的LOS为2.7天.
- 336名患者超过了预期的LOS.
- 长期LOS的最重要因素 (p < 0.001) 是情绪的变化,影响了82名患者.
结论:
- 术前处置计划的变化,无论是更高或更低的护理水平,都与TJA后的LOS增加有关.
- 准确的处置规划对于管理TJA的患者流和医院资源至关重要.
- 对处置预测模型的进一步研究是有必要的,以尽量减少LOS变化.
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