无法启动:儿童结直肠外科手术中心被18岁以上的患者使用
Vatche Melkonian1, Seth Saylors1, Cory Nonnemacher1
1Comprehensive Colorectal Center Children's Mercy Kansas City, USA.
Journal of pediatric surgery
|August 15, 2025
概括
许多患有结直肠疾病的成年患者仍然在儿科护理中,耗费了资源. 这凸显了对成年人医疗保健系统的结构化过渡计划的关键需求,以改善患者的治疗结果和资源管理.
科学领域:
- 儿科手术 儿科手术
- 结肠直肠手术 结肠直肠手术
- 医疗保健的转型 医疗保健的转型
背景情况:
- 患有儿童结肠直肠疾病的患者通常在18岁以后继续在儿科机构接受护理.
- 这种趋势增加了对儿科资源的需求,可能会影响对年轻患者的护理.
研究的目的:
- 评估儿童结直肠中心 (18+) 成年患者的资源利用情况.
- 评估这个群体成功过渡到成人医疗保健系统的程度.
主要方法:
- 从2017年8月到2024年3月的资源利用数据的回顾性审查.
- 纳入标准:18岁以上的患有结直肠疾病的患者,18岁生日后至少一年的随访.
主要成果:
- 包括116名成年患者 (平均年龄20.9岁);67%的人继续接受儿科护理.
- 这个队列产生了大量的利用:180次急诊,243次住院,1486次诊所访问,230次手术和超过19,000次通信/放射学研究.
- 只有33%的成年人成功过渡到成人护理.
结论:
- 成年患者显著利用儿科结直肠中心的资源.
- 显然需要有结构的成年人护理过渡计划.
- 优化儿科资源分配需要解决这一患者群体的需求.
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