使用远程医疗来优化腹修复后的长期监测
Shan L Kalmeta1, Gustavo Salgado-Garz1, Rebecca Prymak1
1Oregon Health & Science University, Portland, OR, USA.
American journal of surgery
|September 4, 2025
概括
远程医疗显著提高了腹修复患者的随访效果. 这种方法有助于早期发现并发症,为长期的外科治疗提供了经济有效的解决方案.
科学领域:
- 椎间板手术
- 手术的结果
- 医疗保健中的远程医疗
背景情况:
- 腹腔带来持续的手术挑战,通常会导致长期的并发症和复发.
- 有效的长期监测对于治疗腹修复后的患者至关重要.
研究的目的:
- 评估基于远程医疗的标准化随访对腹修复后的长期监测的影响.
- 为了比较远程医疗和传统的面对面随访协议之间的依从率.
主要方法:
- 使用了回顾性队列研究设计.
- 在第三级中心进行腹修复的患者进行了分析.
- 6, 12 和 24 个月的随访依从是主要的结果指标.
主要成果:
- 在所有测量时间点 (6,12和24个月) 中,远程医疗监测显示了显著更高的随访依从率.
- 虽然复发率没有显著差异,但远程医疗促进了患者关注的早期识别,在10%的病例中引发了进一步的干预.
- 具体干预包括截面成像和额外的面对面评估.
结论:
- 远程医疗提高了随访的坚持,并使得腹腔修复后的并发症能够及早发现.
- 这种模式提供了经手术后持续护理的成本有效策略.
- 建议进一步研究以完善远程医疗协议以获得最佳结果.
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