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与推迟按时开始和取消预定非产科手术相关的因素
Alicia E Hersey1, Eleanor Brakewood2, Lauren Schilichting3
1Department of Obstetrics and Gynecology, Southcoast Health, New Bedford, MA.
Rhode Island medical journal (2013)
|February 25, 2026
概括
主要语言没有影响妇科手术开始时间或取消. 种族,保险,糖尿病和手术类型等因素与延迟有关,突出了改善患者护理的领域.
科学领域:
- 妇科外科手术 妇科外科
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 关于患者和手术因素导致妇科手术在医院延误的研究有限.
- COVID-19大流行对外科手术安排和患者治疗结果的影响尚不清楚.
- 调查手术护理中的差异,例如那些可能与主要语言相关的差异,至关重要.
研究的目的:
- 确定初级语言是否与预定非产科妇科手术的延迟或取消有关.
- 评估COVID-19大流行是否改变了初级语言和手术延迟之间的任何关联.
- 确定其他患者和外科手术风险因素,有助于手术前延迟和取消.
主要方法:
- 在一个单一的学术妇女医院进行了一项回顾性横截面研究.
- 数据包括2019年1月至2020年1月 (大流行前) 和2020年5月至2021年5月 (大流行后) 的非产科手术.
- 主要结局是延迟开始时间 (>10分钟) 或当天取消;进行了双变量和多变量回归分析.
主要成果:
- 总体而言,20%的案件经历了延迟或取消;主要语言没有显示任何关联.
- 与延误/取消相关的因素包括非西班牙裔黑人种族 (aOR 2.92),公共/无保险 (aOR 1.45),糖尿病 (aOR 2.11),需要手术前药物 (aOR 1.68) 和泌尿后科手术 (aOR 1.89).
- COVID-19大流行并没有改变初级语言和手术延迟之间缺乏关联的现象.
结论:
- 主要语言不是第一次手术延迟或取消的重要因素.
- 特定的患者人口统计学和临床因素被确定为术前延迟的风险.
- 建议进行进一步的定性研究,以发现延迟的可修改原因,并促进公平的术后护理.
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