在老年人群中,手术后30天无计划再入院的风险因素
Gino Sartor1, Marco Fusco2, Marzio Milana2
1Distretto Sociosanitario, Health Authority ULSS 2 Marca Trevigiana, Treviso, Italy. gino.sartor@aulss2.veneto.it.
识别患有痴呆症,末期病或癌症的患者对于减少30天的手术再入院至关重要. 有针对性的干预措施可以改善术后结果,降低医疗保健系统的负担.
科学领域:
- 老年医学 老年医学
- 改善外科手术的质量
- 医疗保健服务研究 医疗服务研究
背景情况:
- 手术后紧急住院再接收会影响医疗保健质量.
- 确定高风险患者和再接收原因至关重要.
研究的目的:
- 为了确定预测手术后30天再入院的患者特征.
- 确定重新入院的主要原因,按手术类型分层.
主要方法:
- 北意大利60岁以上手术患者的横截面分析 (2022年).
- 风险因素包括人口统计,并发症和手术.
- 逻辑回归模拟的再接收赔率比率 (OR).
主要成果:
- 整体30天再入院率为3.8%;在胃肠道手术后最高.
- 痴呆症 (OR=3.19),末期脏病 (OR=2.84) 和转移性癌症 (OR=2.65) 预测重新入院.
- 感染是主要的原因,其次是出血和血栓形成/栓塞.
结论:
- 识别痴呆症,病和癌症等危险因素是改善护理过渡的关键.
- 针对高风险群体的有针对性的干预措施可以减少计划外的再接收和医疗保健成本.
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