鉴定风险在一个或两个层次的腰部融合选修后的医院出院的患者
Matthew J Solomito1, Heeren Makanji1,2, Jesse Eisler1,3
1Hartford Healthcare Bone and Joint Institute, 31 Seymour St., Hartford, CT 06106, United States.
North American Spine Society journal
|October 2, 2025
概括
患者报告的结果,包括移动性和心理健康,可以预测腰部融合手术后的设施出院. 这有助于识别有风险的患者,以便在脊柱手术中更好地规划和节省成本.
科学领域:
- 整形外科手术 整形外科手术
- 医疗保健服务研究 医疗服务研究
- 患者的治疗结果.
背景情况:
- 脊柱手术在美国的频率和成本都在增加.
- 减少后腰椎融合设施排放可以改善结果并降低成本.
- 确定设施排放的预测因素对于脊椎外科手术的财政责任至关重要.
研究的目的:
- 为了确定临床和患者报告的因素,与选择性腰部融合后的设施排放相关.
- 为了确定出院到熟练护理机构的风险增加的预测因素.
主要方法:
- 对513名接受1级或2级腰部融合的患者进行了回顾性研究.
- 对手术前患者报告结果 (PROs),病史和身体数据的分析.
- 后勤回归和接收机操作员曲线分析以确定排放预测因素.
主要成果:
- 7.9%的患者 (41) 被送往医疗机构.
- 六个因素预测了设施的排放:3个临床和3个PROs.
- 低PROMIS-10 全球身体和心理健康T分数 (<40) 和低RAPT分数 (<9) 是显著的预测因素.
结论:
- 患者报告的结果显著提高了预测设施出院风险的能力.
- 在手术前,患者的移动性,心理健康和家庭支持数据比临床指标更具预测性.
- 使用PRO可以优化腰部融合患者的出院规划和资源配置.
相关概念视频
01:26Endoscopic Studies II: Thoracocentesis
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
01:29Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...