单旋手套维修的成本驱动因素:手术前一天的时间驱动活动基于成本分析
Haley D Puckett1,2, Rebekah M Kleinsmith1,2, Mariah N Norling3
1Department of Orthopaedic Surgery, TRIA Orthopaedic Institute, Bloomington, Minnesota.
JB & JS open access
|August 18, 2025
概括
患者抑郁,撕裂严重程度和双排修复等手术技术显著增加了旋转器袖口修复手术的一天的成本. 了解这些因素有助于提供基于价值的护理.
科学领域:
- 整形外科手术 整形外科手术
- 卫生经济学 卫生经济学
- 以价值为基础的护理
背景情况:
- 旋转手套修复 (RCR) 的成本可能会有很大的不同.
- 确定手术当天 (DOS) 成本的驱动因素对于财务可预测性和基于价值的护理至关重要.
研究的目的:
- 为了确定影响DOS成本的患者和手术因素,单独的上骨撕裂.
主要方法:
- 对236名患者进行一次性RCR治疗,用于隔离的上关节撕裂的回顾性审查 (2016-2022年).
- 从直接和间接的DOS成本得出的基于活动的时间驱动成本.
- 单变量和多变量回归分析以确定成本预测因素.
主要成果:
- 平均DOS成本为2,443美元±832美元,植入器成本占成本变化的87%.
- 更高的DOS成本的重要预测因素包括抑郁症,全厚撕裂,双排修复,下压缩,距离关节骨切除,双肩,和接的数量.
结论:
- 患者的抑郁和特定的外科选择显著影响RCR的DOS成本.
- 这些数据可以提高成本透明度,并支持骨科手术中的基于价值的护理决策.
相关概念视频
01:11Assessment of radial pulse
Assessment of Radial Pulse
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
01:23Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...