Ashwin Gupta, Chen Chia Wang, Nicholas Szuflita, Gunther Wong, Michael Golinko, Christopher M. Bonfield, E. Haley Vance
{"title":"一种方案驱动的方法提高颅缝闭合术后的实验室使用","authors":"Ashwin Gupta, Chen Chia Wang, Nicholas Szuflita, Gunther Wong, Michael Golinko, Christopher M. Bonfield, E. Haley Vance","doi":"10.1016/j.nurpra.2025.105497","DOIUrl":null,"url":null,"abstract":"<div><div>A standardized postoperative craniofacial protocol was implemented to decrease laboratory draws and costs. Patients younger than 18 years who underwent open reconstruction for single-suture craniosynostosis were separated into preprotocol (n = 62) and postprotocol (n = 44) cohorts. The number of laboratory draws, costs, and postoperative complications were calculated. Mean laboratory draws and costs for per-patient laboratory draws significantly decreased by 43.0% (<em>P</em> < .001) and 40.5% (<em>P</em> < .001), respectively, across a patient’s length of stay. There were no significant differences in outcomes or complications. Decreasing postoperative laboratory draws in pediatric patients undergoing surgery for craniosynostosis lowered overall costs without compromising care.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 9","pages":"Article 105497"},"PeriodicalIF":0.0000,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A Protocol-Driven Approach to Improve Postoperative Laboratory Use for Craniosynostosis\",\"authors\":\"Ashwin Gupta, Chen Chia Wang, Nicholas Szuflita, Gunther Wong, Michael Golinko, Christopher M. Bonfield, E. Haley Vance\",\"doi\":\"10.1016/j.nurpra.2025.105497\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>A standardized postoperative craniofacial protocol was implemented to decrease laboratory draws and costs. Patients younger than 18 years who underwent open reconstruction for single-suture craniosynostosis were separated into preprotocol (n = 62) and postprotocol (n = 44) cohorts. The number of laboratory draws, costs, and postoperative complications were calculated. Mean laboratory draws and costs for per-patient laboratory draws significantly decreased by 43.0% (<em>P</em> < .001) and 40.5% (<em>P</em> < .001), respectively, across a patient’s length of stay. There were no significant differences in outcomes or complications. Decreasing postoperative laboratory draws in pediatric patients undergoing surgery for craniosynostosis lowered overall costs without compromising care.</div></div>\",\"PeriodicalId\":101233,\"journal\":{\"name\":\"The Journal for Nurse Practitioners\",\"volume\":\"21 9\",\"pages\":\"Article 105497\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-08-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The Journal for Nurse Practitioners\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1555415525001801\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Journal for Nurse Practitioners","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1555415525001801","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
A Protocol-Driven Approach to Improve Postoperative Laboratory Use for Craniosynostosis
A standardized postoperative craniofacial protocol was implemented to decrease laboratory draws and costs. Patients younger than 18 years who underwent open reconstruction for single-suture craniosynostosis were separated into preprotocol (n = 62) and postprotocol (n = 44) cohorts. The number of laboratory draws, costs, and postoperative complications were calculated. Mean laboratory draws and costs for per-patient laboratory draws significantly decreased by 43.0% (P < .001) and 40.5% (P < .001), respectively, across a patient’s length of stay. There were no significant differences in outcomes or complications. Decreasing postoperative laboratory draws in pediatric patients undergoing surgery for craniosynostosis lowered overall costs without compromising care.