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在儿科尾切除护理中采用和实施基于证据的实践
Anna M Lin1, Lindsey Asti1, Marissa Carroll1
1Nemours Surgical Outcomes Center, Department of Surgery, Nemours Children's Health, Wilmington, DE, USA.
Journal of pediatric surgery
|October 15, 2025
概括
针对儿科尾炎,越来越多地使用基于证据的实践 (EBP). 关键的变化包括减少抗生素的使用,在不复杂的病例中增加当天出院,在复杂的病例中减少排水和PICC线路.
科学领域:
- 儿科手术 儿科手术
- 基于证据的实践.
- 附录 管理 附录 管理
背景情况:
- 儿童医院正在采用儿童尾炎的基于证据的实践 (EBP).
- 成功实施EBP可能是一个漫长的过程.
研究的目的:
- 在8年的时间内,评估儿童尾炎的EBP的采用和实施情况.
- 评估对无复杂和复杂尾炎的诊断和管理策略的变化.
主要方法:
- 美国外科医生学院国家外科质量改善计划-儿科 (2015-2022) 数据的分析.
- 评估尾切除术患者的急性尾炎.
- 评估包括成像,抗生素使用,PICC线路,排水位置和当天排放在内的做法.
主要成果:
- 对于没有并发症的尾炎,口服抗生素的使用量下降,当天出院量显著增加.
- 对于复杂的尾炎,术后排水和PICC线的使用减少,而口服抗生素的使用增加.
- 图像学趋势显示,CT使用稳定,MRI使用增加,超声波在复杂尾炎中使用增加.
结论:
- 在儿科尾炎护理中,越来越多地采用基于证据的实践.
- 对于不复杂的尾炎和复杂的尾炎,观察到管理策略的显著变化.
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