皮革与外科气管切除术:对效率,成本和住院时间进行比较分析
Rollin William Johnson1, Antonio Melhem1, Nischal Bogati1
1General Surgery, Wyckoff Heights Medical Center, Brooklyn, USA.
Cureus
|September 22, 2025
概括
穿皮气管切除术 (PT) 比手术气管切除术 (ST) 更有效和更具成本效益. PT显著减少了手术时间和成本,使其成为需要长时间呼吸器支持的重症监护室患者的有价值的替代方案.
科学领域:
- 医疗程序 医疗程序
- 密集护理医学 密集护理医学
- 手术创新 在外科创新.
背景情况:
- 气管切除术是需要长时间机械通风的ICU患者常见的手术.
- 社区医院面临的挑战是运营成本和空气管切除术手术室的可用性.
- 通过皮质气管切除术 (PT) 计划的实施被探索,以应对这些挑战.
研究的目的:
- 为了比较效率,ICU停留,以及皮穿式气管切除术 (PT) 与手术气管切除术 (ST) 在社区医院环境中的成本效益.
- 评估新实施的PT计划的早期成果.
- 确定 PT 与 ST 的资源利用优势.
主要方法:
- 采用了回顾性队列研究设计,分析了2023-2024年的数据.
- 数据包括咨询到程序的时间,程序的持续时间,ICU停留时间,以及ST和PT的相关成本.
- 统计学显著性使用p值<0.05.05来确定.
主要成果:
- 与ST相比,PT的咨询到程序时间 (1.76天 vs. 4.139天,p=0.0039) 和程序持续时间 (8.66分 vs. 53.93分,p=0.0001) 显著缩短.
- 在PT (3天) 和ST (3.79天,p=0.3919) 之间的ICU停留时间没有发现统计学上显著的差异.
- PT的成本效益明显更高,平均为971.93美元,相比ST的2,397.98美元.
结论:
- 透皮气管切除术 (PT) 通过减少手术时间和成本相比手术气管切除术 (ST) 显著提高了效率.
- 虽然ICU停留时间没有显示统计学意义,但PT对社区医院的资源管理和成本节省有明显的好处.
- 对于需要在重症监护室进行气管切除术的患者来说,PT是ST的可行和有利的替代品.
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