标准化的外科手术方案和儿科手术的差异
Leigh Selesner1, Anthony Gutierrez1,2, Cortnie Vaughn1
1Department of Surgery, Division of General Surgery, School of Medicine, Oregon Health & Science University, Portland.
JAMA surgery
|August 20, 2025
概括
儿童手术减小差异 (MViPS) 计划减少了儿童手术患者的住院费用和住院时间. 这一举措提高了多个机构的效率和成果.
科学领域:
- 儿童手术
- 改善医疗保健的质量
- 手术成果研究
背景情况:
- 标准化的外科手术途径对于减少变异和改善患者手术结果至关重要.
- 这些途径在儿科手术中落后, 需要更广泛的评估.
研究的目的:
- 评估儿童手术减小差异 (MViPS) 计划对临床结果,停留时间 (LOS) 和成本的影响.
- 评估一个多机构,多协议的小儿外科手术的有效性.
主要方法:
- 在两个学术高等推中心实施MViPS计划之前和之后,对比儿科手术患者的队列研究.
- 从2012年10月到2021年11月收集的数据,分析了LOS,总医院费用 (THC),并发症和协议遵守等结果.
主要成果:
- MViPS 计划显示了82%的协议合规性.
- 在实施后,研究LOS降低了23% (191个住院日),总住院费用 (THC) 降低了10% (266,709美元).
- 在治疗前和治疗后的组中,并发症的发生率保持相似.
结论:
- 这项MViPS计划成功地减少了医院总费用和儿童外科住院时间.
- 标准化方案对于改善机构间儿科手术护理的结果和效率都是有价值的.
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