使用鼻腔阻塞症状评估 (NOSE) 评分验证隔膜整形等待名单:质量改进项目
Rabii Aboul Hosn1, Fergus Cooper1, Kim Wong Ah-See1
1Department of ENT, Aberdeen Royal Infirmary, Aberdeen, Scotland, UK.
Scottish medical journal
|November 17, 2025
概括
使用鼻腔阻塞症状评估问卷 (NOSE) 实施经过验证的血管整形等待列表过程改善了患者的选择. 这种精简的过程有效地确定了适合进行血栓整形手术的候选人.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 长时间的国家卫生服务等候名单需要重新评估患者.
- 在长时间等待例行手术时,患者的病情可能会发生变化.
研究的目的:
- 实施一项细分整形等候名单验证过程.
- 使用鼻腔阻塞症状评估问卷 (NOSE) 进行患者选择.
主要方法:
- 开发了一种电话咨询,其中包含了NOSE问卷.
- 在112名患者的手术前和手术后评估了NOSE分数.
- 如果他们的NOSE得分很低或他们没有尝试医疗管理,患者将被删除.
主要成果:
- 在初始咨询期间,33名患者从等待名单中删除.
- 86%的切除患者在4年随访后没有进一步的耳鼻喉接触.
- 平均NOSE分数在术后显著改善 (57.7至26.9,p < 0.0001).
结论:
- 该NOSE得分有效验证了血管整形等候名单.
- 这种方法有助于适当地选择患者进行血栓形成手术.
- 经过验证的等待名单可以改善手术候选人的识别和资源分配.
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