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[某骨科科室取消的外科手术干预措施]

[Cancelled surgical interventions at an orthopedic department].

作者信息

Jørgensen L N, Hinrichsen N C, Kristensen N K, Kramhøft J

机构信息

Centralsygehuset Hillerød, ortopaedkirurgisk afdeling O.

出版信息

Ugeskr Laeger. 1991 Jun 3;153(23):1657-8.

PMID:2058031
Abstract

In a department of orthopaedic surgery, all cancelled elective inpatient operations were registered prospectively during a period of four months. Out of 686 planned interventions, 13% were cancelled, most frequently less than 48 hours prior to the time of the planned operations. Patients whose operations were cancelled were not younger than patients subjected to operation but failure to report was related to low patient age. The type of the operative intervention which had to be cancelled did not differ from the interventions which were carried out. 40% of the cancellations were due to defective preoperative preparation of the patients, 23% were due to acute illness or personal circumstances of the patients and 36% were due to deficient operative capacity. Measures are recommended for possible reduction in the number of cancelled operations.

摘要

在一个骨外科科室,在四个月的时间里对所有取消的择期住院手术进行了前瞻性登记。在686例计划手术中,13%被取消,最常见的是在计划手术时间前不到48小时取消。手术被取消的患者并不比接受手术的患者年轻,但未报到与患者年龄小有关。不得不取消的手术干预类型与实际进行的干预并无不同。40%的取消是由于患者术前准备不足,23%是由于患者急性疾病或个人情况,36%是由于手术能力不足。建议采取措施以可能减少取消手术的数量。

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