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神经外科住院患者的住院医师联合管理计划减少了医疗并发症和住院时间

Hospitalist Co-Management Program for Neurosurgery Inpatients Reduces Medical Complications and Length of Stay

GlobeNewswire | 2024-05-03 | 翻译由动脉网AI生成,点击反馈

可切换为仅中文


OAKBROOK TERRACE, Illinois, May 02, 2024 (GLOBE NEWSWIRE) -- Medical complications are common among neurosurgical patients and can jeopardize their clinical results, leading to longer lengths of stay, higher costs, and higher readmission and mortality rates. A new study in the May 2024 issue of The Joint Commission Journal on Quality and Patient Safety (JQPS) evaluated the impact of a hospitalist co-management program on clinical outcomes in neurosurgical patients.

伊利诺伊州OAKBROOK TERRACE,2024年5月2日(环球通讯社)--神经外科患者常见医疗并发症,可能危及其临床结果,导致住院时间延长,费用增加,再入院率和死亡率增加。2024年5月出版的《质量和患者安全联合委员会杂志》(JQPS)上的一项新研究评估了住院医师共同管理计划对神经外科患者临床结局的影响。

The study, “Impact of a Hospitalist Co-Management Program on Medical Complications and Length of Stay in Neurosurgical Patients,” aimed to determine whether general neurosurgery inpatients benefit from a hospitalist-led co-management program in terms of mortality, complications and use of resources.

这项研究“住院医生共同管理计划对神经外科患者医疗并发症和住院时间的影响”,旨在确定普通神经外科住院患者在死亡率,并发症和资源使用方面是否受益于住院医生领导的共同管理计划。

Researchers at Hospital Universitario 12 de Octubre, Madrid, Spain, used a quasi-experimental study design to compare a historical control period to a prospective intervention arm. During the intervention period, patients admitted to a neurosurgery inpatient unit were included in the co-management program if they were: Older than 65 years old.Suffered certain conditions such as diabetes, heart failure, asthma, chronic kidney disease and more.Admitted from the intensive care unit (ICU).  The program incorporated two hospitalists into the neurosurgery team.

西班牙马德里奥克图布雷12大学医院的研究人员采用准实验研究设计,将历史控制期与前瞻性干预组进行比较。在干预期间,入住神经外科住院病房的患者如果年龄大于65岁,则被纳入共同管理计划。患有某些疾病,如糖尿病、心力衰竭、哮喘、慢性肾病等。从重症监护室(ICU)入院。该计划将两名住院医生纳入神经外科团队。

These hospitalists intervened in the patients’ diagnostic and therapeutic plans, participated in clinical decisions and coordinated patient navigation with neurosurgeons.  Findings showed significant reduction in the incidence of relevant medical complications and length of stay in the co-managed patients but revealed no difference in in-hospital mortality.

这些住院医生干预患者的诊断和治疗计划,参与临床决策并与神经外科医生协调患者导航。研究结果显示,共同管理患者的相关医疗并发症发生率和住院时间显着降低,但住院死亡率无差异。

This may be partially explained by the study’s patients’ overall low mortality rates resulting in a smal.

这可能部分是由于该研究患者的总体死亡率较低,导致死亡率较低。

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