手术入院日(DOSA):东苏丹卡萨拉一家资源有限医院的十三年经验

IF 0.4 4区 医学 Q4 SURGERY
Abdel Latif K. Elnaim, Mohammed Mahmoud Ali Osheik, Awad Allah Omer Mohamed Ahmed, Rawah Suliman Mohamed Ahmed
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引用次数: 0

摘要

随着医疗服务需求的不断增长,必须对病床容量进行适当管理,以避免病人拒绝或取消手术。因此,手术当日入院(DOSA)方案在安全问题上越来越受欢迎。我们在一家拥有 120 张床位的医院开展了这项研究。我们医院每周有四次择期手术。所有计划接受择期手术、无内科疾病或内科疾病已得到控制的患者均被纳入研究范围。每位患者都要在外科门诊就诊,并在入院纸上写明治疗计划。患者入院时间为上午 7:00 至 11:00。我们对住院时间、术后并发症和死亡率进行了评估。在 13 年的时间里,患者总数达到 18500 人。取消手术的患者总数为 396 人(2.1%)。普外科手术为 6987 例(38%),消化道手术为 5469 例(30%),内分泌和乳腺手术为 3545 例(18%),小儿外科手术为 1431 例(8%),泌尿外科手术为 1068 例(6%)。住院时间在 1 天或 1 天以内的患者有 10305 人(占 56%)。出现术后并发症的患者总数为 491 人(2.6%)。死亡率为 0.05%(10 名患者)。对于选定的患者来说,DOSA 是一种有效且安全的方案。它最大限度地缩短了住院时间,降低了费用。采用 DOSA 可以增加床位供应,避免病例取消。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Day of Surgery Admission (DOSA): Thirteen Years’ Experience in a Resource-Limited Hospital in East Sudan-Kassala

With the growing need for health services, proper bed capacity management is mandatory to avoid patient rejection or cancellation of a procedure. Hence, the day of surgery admission (DOSA) protocol is gaining popularity with safety concerns. We conducted this study in a 120-bed hospital. Our unit has four operating lists per week for elective cases. All patients who planned for elective surgery, with no medical illness or who had a controlled medical illness, were recruited. Every patient was seen in the surgical clinic with his plan of management written in his admission paper. Patients were admitted from 07:00 to 11:00 am through the special admission counter. We evaluated hospital stay, postoperative complications, and mortality. The total number of patients was 18,500 in a 13-year duration. The total number of case cancellations was 396 patients (2.1%). The general surgical procedures were 6987 (38%), the GIT procedures were 5469 (30%), the endocrine and breast procedures were 3545 (18%), the pediatric surgery procedures were 1431(8%), while urology procedures were 1068 (6%). The hospital stay was 1 day or less in 10,305 (56%) patients. The total number of patients who developed postoperative complications was 491 (2.6%). The mortality rate was 0.05% (10 patients). DOSA is a valid and safe protocol for selected patients. It minimizes hospital stays, reducing expenses. Adoption of DOSA will increase bed availability and avoid case cancellation.

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来源期刊
CiteScore
0.60
自引率
25.00%
发文量
412
审稿时长
6-12 weeks
期刊介绍: The Indian Journal of Surgery is the official publication of the Association of Surgeons of India that considers for publication articles in all fields of surgery. Issues are published bimonthly in the months of February, April, June, August, October and December. The journal publishes Original article, Point of technique, Review article, Case report, Letter to editor, Teachers and surgeons from the past - A short (up to 500 words) bio sketch of a revered teacher or surgeon whom you hold in esteem and Images in surgery, surgical pathology, and surgical radiology. A trusted resource for peer-reviewed coverage of all types of surgery Provides a forum for surgeons in India and abroad to exchange ideas and advance the art of surgery The official publication of the Association of Surgeons of India 92% of authors who answered a survey reported that they would definitely publish or probably publish in the journal again The Indian Journal of Surgery offers peer-reviewed coverage of all types of surgery. The Journal publishes Original articles, Points of technique, Review articles, Case reports, Letters, Images and brief biographies of influential teachers and surgeons. The Journal spans General Surgery, Pediatric Surgery, Neurosurgery, Plastic Surgery, Cardiothoracic Surgery, Vascular Surgery, Rural Surgery, Orthopedic Surgery, Urology, Surgical Oncology, Radiology, Anaesthesia, Trauma Services, Minimal Access Surgery, Endocrine Surgery, GI Surgery, ENT, Colorectal Surgery, surgical practice and research. The Journal provides a forum for surgeons from India and abroad to exchange ideas, to propagate the advancement of science and the art of surgery and to promote friendship among surgeons in India and abroad. This has been a trusted platform for surgons in communicating up-to-date scientific informeation to the community.
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