局部外科治疗的患者导向绕道的后果:多状态分析
Mustafa Abid1,2, Tyler Malone2, Mark Holmes2
1Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Journal of the American College of Surgeons
|February 18, 2026
概括
由于紧急情况而绕过最近的手术护理的患者经历了更糟糕的结果,包括增加疾病进展和并发症. 早期局部干预系统对于改善这些新出现的手术病例中的患者护理至关重要.
科学领域:
- 获得手术护理的机会.
- 医疗服务研究 医疗服务研究
- 患者的治疗结果.
背景情况:
- 绕过紧急/突发性疾病的当地外科护理与单个州研究中的较差结果有关.
- 本研究研究了绕过最近的外科医院 (NSH) 与多州队列中的临床结果之间的关联.
研究的目的:
- 为了确定在紧急和新出现的外科疾病中绕过NSH是否与不良的临床结果有关.
- 分析绕道对疾病复杂性,死亡率,并发症,停留时间和医院转移的影响.
主要方法:
- 2019年在五个州接受紧急/紧急腹部手术的22,902名患者进行了回顾性队列研究.
- 根据近距离和程序能力来定义NSH.
- 绕道被定义为比NSH更远的10英里,使用调整的赔率比率 (aOR) 分析结果.
主要成果:
- 绕道与疾病进展的几率显著增加有关 (aOR 1.22).
- 绕道术患者的并发症几率增加 (aOR 1.12) 和逗留时间延长 (aOR 1.20).
- 死亡率没有显著增加,但绕道术患者的转移几率较低 (aOR0.52).
结论:
- 在紧急/紧急情况下绕过最近的手术护理与更糟糕的临床结果相关,包括疾病进展和并发症.
- 这些发现强调了对支持在紧急外科护理中及时进行本地干预的系统的迫切需要.
- 进一步的研究应该探索优化对临界条件的当地外科服务的获取策略.
相关概念视频
01:23Peripheral Artery Disease V: Postoperative Nursing Management
431
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
431
01:15Methods of Documentation VI: Case Management Model
966
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
966