埃瓦尔快速跟踪,实施一个安全和经济有效的协议
Rita Calviño López-Villalta1, Nilo Javier Mosquera Arochena1
1Hospital Clínico Santiago de Compostela, A Coruña, Spain, Vascular Surgery Department.
Portuguese journal of cardiac thoracic and vascular surgery
|February 20, 2026
概括
实施选择性内血管动脉瘤修复 (EVAR) 的快速方案可显著降低住院时间和费用. 这种方法是安全的,不增加不良事件或再入院,使其成为潜在的护理标准.
科学领域:
- 血管外科 血管外科
- 卫生经济学 卫生经济学
- 患者管理 患者管理
背景情况:
- 选择性内血管动脉瘤修复 (EVAR) 是一种常见的程序.
- 优化患者出院协议对于效率和成本效益至关重要.
- 评估快速通道协议可以确定外科手术期间护理的改善.
研究的目的:
- 评估接受选择性EVAR的患者快速出院协议的成本效益和安全性.
- 为了比较根据快速通道协议管理的患者与标准入院之间的结果.
主要方法:
- 对接受选择性EVAR的83名患者进行了回顾性分析.
- 快速治疗组 (40名患者) 与标准入院的对照组 (43名患者) 的比较.
- 数据收集包括停留时间,费用,再干预率,不良事件和30天和6个月的再接收.
主要成果:
- 快速治疗组的住院时间显著缩短 (2.3天而不是3.7天),以及对复苏室监测的需求减少.
- 快速治疗组中观察到的二次干预率 (12.5%对23.3%) 和再录取率较低.
- 每位患者的总成本节省是相当大的,在快速治疗组中平均为1936.05欧元 (1403.29欧元与3339.34欧元).
结论:
- 选择性EVAR的快速通道协议有效地缩短了住院时间,并降低了外科手术期间的成本.
- 该协议不会增加不良事件或再接收率.
- 快速实施EVAR应被视为符合条件的患者的标准做法.
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