检索结果-南通市图书馆

The Effect of early versus Traditional Hospital discharge on Activities of Daily Living for Women Undergoing Elective Cesarean Section. An Observational Cohort Study

引用

Open Journal of Obstetrics and Gynecology 2023年第3期13卷 642-653页

作者： Ahmed Mohammed Elmaraghy Rasha Elhoseny Yehia Ahmed Hamdy Naguib Department of Obstetrics and Gynecology Faculty of Medicine Ain Shams University Cairo Egypt Department of Obstetrics and Gynecology The National Medical Institute of Damanhour Ministry of Health Cairo Egypt

Background: Cesarean section is one of the most common surgeries performed worldwide and its consequences and complications represent a major public health concern. The policy of enhanced recovery after surgery has been implemented after cesarean section to optimize perioperative care. Enhanced recovery also aims to reduce the length of hospital stay, which might imply substantial healthcare savings. Rising hospital costs are one of the factors in early discharge. Patients & Methods: This was a prospective cohort study. 158 patients met the inclusion criteria of the study, 81 patients were discharged after 48 hours and 77 patients were discharged after 24 hours. All patients received the same postoperative care and instructions. All the study participants received a phone call 1, 3, and 5 days after discharge to objectively assess the activities of daily living through Katz index of independence in activities of daily living. All patients were offered a postpartum visit 1 week after discharge during which the wound was assessed by the Southampton wound assessment scale. Moreover, other maternal complications such as mastitis, puerperal sepsis, or pyelonephritis were assessed and cases who were readmitted were documented. Initiation of successful breastfeeding and neonatal readmission were reported as well. Results: 158 patients met the inclusion/exclusion criteria of the study. There was no significant difference between the two arms of the study regarding baseline characteristics. Katz index of independence showed that the resumption of activities of daily living after CS was similar in both arms of the study on days 1, 3 and 5 after discharge. Time till the passage of flatus and stool after the cesarean section was significantly shorter among the early discharge arm (9.31 VS 14.68, p value early discharge arm and at the 1-week postpartum visit, obje

关键词： Cesarean Section early discharge Katz Index of Independence in Activities of Daily Living

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Comparing complications of outpatient management of slipped capital femoral epiphysis and Blount’s disease:A database study

引用

World Journal of Orthopedics 2022年第4期13卷 373-380页

作者： Achraf Jardaly Timothy W Torrez Gerald McGwin Shawn R Gilbert Department of Orthopaedics Hughston Foundation/Hughston ClinicColumbusGA 31909United States Department of Orthopedics University of AlabamaBirminghamAL 35205United States Department of Epidemiology Center of Clinical and Translational ScienceUniversity of Alabama at BirminghamBirminghamAL 35205United States Department of Pediatric Orthopaedics University of Alabama at BirminghamBirminghamAL 35233United States

BACKGROUND Currents trends in pediatric orthopaedics has seen an increase in surgeries being successfully completed in an outpatient *** recent examples include slipped capital femoral epiphysis(SCFE)and Blount’s *** indications are well-studied for each pathology,but to our knowledge,there is an absence in literature analyzing safety and efficacy of inpatient vs outpatient management of either *** believed there would be no increase in adverse outcomes associated with outpatient treatment of either *** To investigate whether outpatient surgery for SCFE and Blount’s disease is associated with increased risk of adverse *** The 2015-2017 American College of Surgeons National Surgical Quality Improvement Program Pediatric Registries were used to compare patient characteristics,rates of complications,and readmissions between outpatient and inpatient surgery for SCFE and Blount’s *** Total 1788 SCFE database entries were included,30%were performed in an outpatient *** situ pinning was used in 98.5%of outpatient surgeries and 87.8%of inpatient surgeries(Pdischarges and performing procedures in an outpatient *** can be safely performed for a large portion of children with SCFE and Blount’s disease without increasing the risk of compl

关键词： Outpatient surgery early discharge Slipped capital femoral epiphysis Blount’s disease

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Time Course of Postoperative Complications in Low-Risk Women after Planned Cesarean Section

引用

Open Journal of Obstetrics and Gynecology 2022年第5期12卷 394-407页

作者： Anne Raabjerg Kruse Linn Håkonsen Arendt Christian Erikstrup Ulrik Schiøler Kesmodel Finn Friis Lauszus Niels Uldbjerg Iben Sundtoft Axel Forman Department of Obstetrics and Gynecology Regional Hospital G&oslash dstrup Herning Denmark Department of Obstetrics and Gynecology Aarhus University Hospital Aarhus Denmark Department of Clinical Immunology Aarhus University Hospital Aarhus Denmark Department of Obstetrics and Gynecology Aalborg University Hospital Aalborg Denmark

Objectives: Length of hospital stay after cesarean section is today much shorter than previously, and a stay of only 1 day is used in many departments. However, complications requiring immediate treatment must be diagnosed before leaving hospital. We assessed the time interval from planned cesarean section to diagnosis of major complications in low-risk women to estimate a safe time of discharge. Methods: We performed a retrospective observational study among 5633 women undergoing planned cesarean section from 2001-2017 at Aarhus University Hospital, Denmark. The inclusion criterion was postoperative complication graded as Clavien-Dindo ≥ II. Exclusion criteria were preoperative comorbidity or problems during surgery indicative of need for prolonged stay. Time from cesarean section to suspicion of a postoperative complication was the primary endpoint. Results: The study population consisted of 116 women with unexpected postoperative complications, 47 classified as Clavien-Dindo II and 69 as Clavien-Dindo III-IV. In 63 of the 116, the diagnoses were suspected within 24 hours (Clavien-Dindo II: 25, Clavien-Dindo III-IV: 38). These included all cases of relaparotomy and uterine atony with immediate need of medical treatment. Acute colonic pseudo-obstruction was diagnosed within 2 days, while other complications were suspected and treated 2 to 10 days postoperatively. Conclusions: Among low-risk women with a postoperative complication, all cases requiring relaparotomy and medically treated uterine atony were suspected within 24 hours after surgery. discharge 24 hours after planned cesarean section seems safe in low-risk patients.

关键词： Cesarean Section Postoperative Complications Postoperative Hemorrhage early discharge Length of Hospital Stay

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Discharging patients home from the intensive care unit:A new trend

引用

World Journal of Clinical Cases 2024年第23期12卷 5313-5319页

作者： Esraa M Hassan Abbas B Jama Ahmed Sharaf Asim Shaikh Mohamad El Labban Salim Surani Syed A Khan Department of Critical Care Medicine Mayo Clinic Health systemMankatoMN 56001United States Department of Internal Medicine Baptist Hospital of Southeast TexasBeaumontTX 77701United States Department of Medicine Aga Khan UniversityKarachi 74200SindhPakistan Department of Internal Medicine Mayo Clinic Health SystemMankatoMN 56001United States Department of Medicine and Pharmacology Texas A&M UniversityCollege StationTX 77843United States Department of Anaesthesiology Mayo Clinic Health SystemRochesterMN 55905United States

Discharging patients directly to home from the intensive care unit(ICU)is becoming a new *** review examines the feasibility,benefits,challenges,and considerations of directly discharging ICU *** analyzing available evidence and healthcare professionals'experiences,the review explores the potential impacts on patient outcomes and healthcare *** practice of direct discharge from the ICU presents both opportunities and *** it can potentially reduce costs,enhance patient comfort,and mitigate complications linked to extended hospitalization,it necessitates meticulous patient selection and robust post-discharge support *** this strategy successfully mandates the availability of home-based care services and a careful assessment of the patient's readiness for the *** critical evaluation of existing literature,this review underscores the significance of tailored patient selection criteria and comprehensive post-discharge support systems to ensure patient safety and optimal *** insights provided contribute evidence-based recommendations for refining the direct discharge approach,fostering improved patient outcomes,heightened satisfaction,and streamlined healthcare ***,the review seeks to balance patientcentered care and effective resource utilization within ICU discharge strategies.

关键词： Intensive care unit Critical care early discharge Cost effective critical care Patient comfort early recovery

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：