患者选择在当日出院实施中的价值:来自MBSAQIP数据库的见解
Sara Saeidishahri1, Amir Ebadinejad1, Yin Wu1
1Center for Obesity Research, Innovation, and Education, Digestive Health Institute, Hartford HealthCare, Hartford, Connecticut.
在袖子胃切除术 (SG) 后,同日排出 (SDD) 是常见的,但高风险患者面临严重不良事件 (SAE) 的增加. 风险分层对于袖子胃切除术患者的安全SDD至关重要.
科学领域:
- 腹部外科手术的结果
- 在最小侵入性手术中患者安全.
- 袖子胃切除术 排放协议 排放协议
背景情况:
- 袖子胃切除术 (SG) 后的当天出院 (SDD) 越来越多地被采用.
- 谨慎的患者选择对于SDD在SG的安全性至关重要.
研究的目的:
- 评估接受SDD初级SG患者的风险概况.
- 为了比较30天的严重不良事件 (SAE) 之间的SDD和第二天释放 (NDD) 组.
主要方法:
- 对2020-2023年美国MBSAQIP数据的分析.
- 根据特定标准将患者分类为低风险 (LR) 或高风险 (HR).
- 逻辑回归用于评估与风险类别和风险因素数量 (RF) 相关的SAE概率.
主要成果:
- 分析了超过4万个SDD和28万个NDD病例.
- 与NDD相比,高风险 (HR) 患者的SAE与SDD的几率明显高于NDD (OR:1.26).
- 在HR SDD患者中,多重射频 (≥2) 患者的SAE可能性增加.
结论:
- 大约50%的SDDSG患者具有高风险,其中32%患有多重RF.
- 高风险SG患者的SDD与SAE的更大概率有关.
- 建议实施风险分层模型,以提高SDD患者的安全性.
更多相关视频
06:55Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
Published on: January 8, 2020
06:52Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
相关概念视频
Discharge Summary Forms
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
Health Information Technology and Healthcare Information System
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Planning Nursing Care I
SBAR II: Application of SBAR
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
