预检团队研究:预康复门诊作为择期心脏外科手术患者管理的有效工具。

IF 1.6 Q2 ANESTHESIOLOGY
Dorota Sobczyk, Hubert Hymczak, Dominika Batycka-Stachnik, Jolanta Siwińska, Sylwia Wiśniowska-Śmiałek, Bogusław Kapelak, Krzysztof Bartus
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引用次数: 0

摘要

导言本研究的主要目的是评估术前预检小组的跨学科评估对优化择期心脏手术最终选择的影响:这是一项单中心前瞻性观察研究。研究对象包括 933 名计划接受心脏手术的成年患者。在排除紧急手术后,研究组包括自 2023 年 1 月 1 日起 3 个月内计划接受择期心脏手术并接受预检评估的 288 名患者(预检组 2 组),以及在 2022 年 3 月 1 日至 2022 年 6 月 30 日(4 个月)期间计划接受择期心脏手术但未接受术前交叉评估的 311 名患者(无预检组 2 组):研究组中有 52 名患者(18.06%)最终被排除在预定手术日期之外。46名患者(88.46%)因预检组评估而暂时或永久被排除在手术之外。对照组中有 42 名患者(13.5%)没有在预定日期接受手术。其中有 27 名患者(8.97%)在入院后被永久排除在心脏手术之外,在最终临床决定前还需要进行更多检查,住院总时间为 146 天:手术前检查(PreScheck)小组是一个独创的概念,它结合了传统的术前评估和门诊康复诊所。除了心脏小组的建议外,我们在此提出的方法应该成为选择心脏手术过程中的一个补充阶段。通过这两步决策,可以进行真正的个体风险评估,选择最合适的干预措施,并更好地利用医疗资源。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
PreScheck Team Study: prehabilitation clinic as an effective patient management tool in elective cardiac surgery.

Introduction: The main purpose of the study was to assess the impact of preoperative interdisciplinary assessment by the PreScheck Team on optimization of the final selection for elective cardiac surgery.

Material and methods: This is a single-centre prospective observational study. The examined population consisted of 933 adult patients planned for cardiac surgery. After the exclusion of urgent operations, the study group consisted of 288 patients planned for elective cardiac surgery within 3 months from 1.01.2023 with PreScheck assessment (PreScheck Team group 2) and a control group of 311 patients scheduled for elective cardiac surgery between 1.03.2022 and 30.06.2022 (4 months), without preoperative interdiscipli-nary assessment (No PreScheck Team group 2).

Results: Fifty-two patients (18.06%) from the study group were finally excluded from the surgery on the scheduled date. In 46 patients (88.46%) the temporary or permanent exclusion from surgery was a result of PreScheck Team assessment. In the control group 42 patients (13.5%) did not undergo surgery on the scheduled date. Twenty-seven of those patients (8.97%) were permanently excluded from cardiac surgery after admission to the hospital and required additional tests before the final clinical decision, with total hospitalization time of 146 days.

Conclusions: Pre Surgery Check (PreScheck) Team is an original concept that combines classical preoperative assessment and an outpatient prehabilitation clinic. The approach we are proposing here should be a complementary stage in the process of selection for elective cardiac surgery, in addition to the Heart Team recommendation. This two-step decision-making enables real individual risk assessment, selection of the most suitable intervention and better use of medical resources.

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来源期刊
CiteScore
3.00
自引率
5.90%
发文量
48
审稿时长
25 weeks
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