同一天出院是否与经过骨关节手术后的再入院有关?
Tim T Wang1, Lang Liang2, Nicholas Wilken3
1Resident, Oral and Maxillofacial Surgery, Massachusetts General Hospital, Boston, MA.
概括
在整形外科手术后的同日出院是安全的,没有增加30天的再入院风险. 这一途径可以降低医疗保健成本,并改善患者获得护理的机会.
科学领域:
- 口腔和牙面部外科手术
- 医疗保健服务研究 医疗服务研究
- 外科手术的结果
背景情况:
- 同日出院 (SDD) 对于整形外科手术可能会降低成本并改善准入.
- 然而,SDD的安全性和结果尚未得到充分理解.
研究的目的:
- 评估出院路径和30天的医院再入院之间的关联.
- 为了评估SDD的趋势,随着时间的推移,对骨架手术患者.
主要方法:
- 使用ACS NSQIP数据库进行的回顾性队列研究 (2011-2023年).
- 包括接受正骨科手术的患者,不包括那些缺少数据或并发手术的患者.
- 对比同一天出院与住院,分析30天再入院率和共变量.
主要成果:
- 分析了2056名患者;22.8%的人患有SDD.
- 两组的再入院率都很低 (0.40%的SDD与1.10%的住院患者),没有显著的差异 (P=.3).
- 在研究期间,SDD的频率从10.7%增加到23.1% (P=.03).
结论:
- 在精选的脊椎外科手术患者中,SDD与30天再入院风险的增加无关.
- 这支持SDD作为一个安全的选择,可能提高医疗保健的效率.
- 进一步的研究可能会探索SDD的特定患者选择标准.
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