临床路径对全膝关节置换术的益处。

IF 0.5 4区 医学 Q4 ORTHOPEDICS
Acta Ortopedica Brasileira Pub Date : 2024-03-22 eCollection Date: 2024-01-01 DOI:10.1590/1413-785220243201e269506
Márcio de Castro Ferreira, Gilvânia Silva, Carolina Padrão Amorim Marinelli, Julia Souza de Oliveira, Pedro Aurélio Mathiasi, Gilberto Luis Camanho
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引用次数: 0

摘要

目的:证明多专业全膝关节置换术临床路径计划(CPPA)是否有助于优化医院护理:证明多专业全膝关节置换术临床路径计划(CPPA)是否有助于优化医院护理:对 310 名患者的医疗数据和护理指标进行回顾性研究,分为两组:方法:对 310 名患者的医疗数据和护理指标进行回顾性研究,分为两组:A 组--在引入 CPPA 之前的上一个两年期接受关节置换术的患者(144 人);B 组--在引入 CPPA 之后的两年期接受 TKA 的患者(166 人):结果显示,术后住院时间(4.33±2.79 天)和(5.4±1.67 天)方面,B 组与 A 组相比存在明显差异(p):多专业 CPPA 的实施有助于护理协议的实施,有利于提高患者安全。证据等级 III;回顾性比较研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
BENEFITS OF A CLINICAL PATHWAY IN TOTAL KNEE ARTHROPLASTY.

Objective: Demonstrate whether a multiprofessional Clinical Pathway Program in Total Knee Arthroplasty (CPPA) contributesto optimizing hospital care.

Method: Retrospective study of medical data of care indicators in 310 patients divided into two groups: A- who underwent arthroplasty in the last biennium before the introduction of the CPPA (n=144) and group B- who underwent TKA in the biennium after the introduction of the CPPA (n=166).

Results: Postoperative showed a significant difference in favor of group B over group A for hospitalization time in days 4.33 ± 2.79 and 5.4 ± 1.67 (p<0.001), time of prophylactic antibiotic in hours 28.13 ± 33.77 and 81.49 ± 40.91 (p<0.001), referral to the intensive care unit 40.9% and 73.4% (p<0.001), initiation of thromboprophylaxis within 24 hours 97.9% and 82.5% (p<0.001), use of elastic stockings and/or intermittent compression prescribed for thromboprophylaxis 89.5% and 31.2% (p<0.001), initiation of rehabilitation within 24 hours 90.1% and 66.1% (p<0.001), readmissions within 30 days 4.1% and 3% (p = 0.76), readmissions 90 days 2.7% and 6.6% (p = 0.183), transfusions 5.5% and 15.2% (p = 0.033).

Conclusion: The implementation of a multiprofessional CPPA contributed to the implementation of care protocols, favoring greater patient safety. Level of Evidence III; Retrospective Comparative Study.

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来源期刊
CiteScore
0.90
自引率
14.30%
发文量
67
审稿时长
25 weeks
期刊介绍: A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.
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