医院与独立中心门诊手术时间比较。
A comparison of ambulatory perioperative times in hospitals and freestanding centers.
机构信息
Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7435, USA.
出版信息
Am J Surg. 2012 Jul;204(1):23-7. doi: 10.1016/j.amjsurg.2011.07.023. Epub 2012 Feb 16.
Abstract
BACKGROUND
The volume of surgical procedures performed in ambulatory surgical centers has increased rapidly.
METHODS
Ambulatory surgical visits of Medicare beneficiaries were compared for hospital-based and freestanding ambulatory surgical centers (ASCs). The main outcomes were time in surgery, time in operating room, time in postoperative care, and total perioperative time.
RESULTS
The mean total perioperative time for all procedures examined was 39% shorter in freestanding ASCs then in hospital-based ASCs (83 vs 135 min; P < .01); surgery time was 37% shorter (19 vs 30 min; P < .01), operating room time was 37% shorter (34 vs 54 min; P < .01), and postoperative time was 35% shorter (48 vs 74 min; P < .01).
CONCLUSIONS
Perioperative times were significantly shorter in freestanding ASCs than in hospital-based ASCs. It is unclear how much of the difference was the result of efficiency versus patient selection.
摘要
背景
在日间手术中心进行的外科手术数量迅速增加。
方法
比较了医疗保险受益人的基于医院和独立的日间手术中心（ASC）的日间手术就诊情况。主要结果是手术时间、手术室时间、术后护理时间和总围手术期时间。
结果
所有检查的手术中，独立 ASC 的总围手术期时间比基于医院的 ASC 短 39%（83 分钟比 135 分钟；P<.01）；手术时间短 37%（19 分钟比 30 分钟；P<.01），手术室时间短 37%（34 分钟比 54 分钟；P<.01），术后时间短 35%（48 分钟比 74 分钟；P<.01）。
结论
独立 ASC 的围手术期时间明显短于基于医院的 ASC。尚不清楚差异有多大是由于效率还是患者选择造成的。
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