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美国手术类型的经手术尿管利用趋势,2010-2017年:来自全国住院患者样本的证据
Priscilla D Anderton1, Anthony C Waddimba2,3, Mustafa M Saed3,4
1Division of Urology, Baylor Scott & White Health, Temple, Texas, USA.
World journal of surgery
|November 25, 2025
概括
尽管有国家指导方针,但整体的外科术期间导管使用并没有显著下降. 导管管理的子专业差异突出了针对性干预和基于协议的方法的需要.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗保健政策 医疗保健政策
- 外科手术的结果
背景情况:
- 在外科手术期间,尿导管过度使用会导致诸如CAUTIs和尿道创伤等并发症.
- 2009年发布了国家指导方针,以减少不适当的导管使用.
- 本研究检查了2010-2017年间围手术导管使用的国家趋势.
研究的目的:
- 评估国家在外科手术期间使用静止尿道导管的趋势.
- 评估在CDC指南发布后的各种外科专业的利用情况.
- 为了根据手术类型识别导管使用的变化.
主要方法:
- 从全国住院患者样本 (NIS) 数据库中对选择性手术入院的回顾性分析.
- 包括18岁以上的患者,接受尿道导管化代码的手术.
- 使用曼-肯德尔和LOESS模型计算比例导管利用率和评估时间趋势.
主要成果:
- 在2010年至2017年期间,超过8100万次手术涉及外科导管.
- 在眼睛和泌尿系统手术中观察到导管使用的显著减少.
- 在女性生殖器官,男性生殖器官和呼吸道手术中发现了导管使用的增加,没有总体显著变化.
结论:
- 总体而言,尽管有国家指导方针,外科外科导管的使用并没有显著减少.
- 亚专业的变化表明程序规范和专业实践对导管管理的影响.
- 强化,以协议为导向的策略,包括护士主导的移除和ERAS途径,被推用于更广泛的实施.
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