Nguyen B T, Thompson J S, Edney J A, Rikkers L F
Surgical Service Omaha Veterans Administration Medical Center, Nebraska.
Am Surg. 1990 Oct;56(10):606-9.
We compared the patient populations and outcome of surgery for peptic ulcer disease in 81 patients at a Veterans Administration Hospital (OVAH) and 97 patients at an affiliated University Hospital (UNH). The surgeons and choice of operation were comparable at both facilities. Patients were similar with respect to severity of ulcer disease, percentage of elderly patients and distribution of comorbid conditions. There were significantly more female patients (45% vs 2%, P less than 0.05), patients less than 40 years old (22% vs 6%, P less than 0.05), and patients with gastric ulcers (27% vs 12%, P less than 0.05) at UNH. Alcoholism was more prevalent at OVAH (57% vs 22%, P less than 0.05). Postoperative morbidity and mortality rates were 27 per cent and 14 per cent at OVAH and 25 per cent and 16 per cent at UNH. These data suggest that quality of care for surgical therapy of ulcer disease at a VA Hospital is comparable to its tertiary care affiliate with a similar patient population.
我们比较了一家退伍军人管理局医院（OVAH）的81例消化性溃疡疾病患者和一家附属大学医院（UNH）的97例患者的手术患者群体及手术结果。两家机构的外科医生和手术选择具有可比性。患者在溃疡疾病严重程度、老年患者百分比及合并症分布方面相似。UNH的女性患者明显更多（45% 对2%，P<0.05），40岁以下患者更多（22% 对6%，P<0.05），胃溃疡患者更多（27% 对12%，P<0.05）。酗酒在OVAH更为普遍（57% 对22%，P<0.05）。OVAH的术后发病率和死亡率分别为27%和14%，UNH为25%和16%。这些数据表明，退伍军人管理局医院溃疡疾病手术治疗的护理质量与其拥有相似患者群体的三级护理附属机构相当。
