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术前足部和踝关节物理治疗对减少住院时间和改善患者护理的影响。

The effect of preoperative foot and ankle physiotherapy group on reducing inpatient stay and improving patient care.

机构信息

University Hospital Aintree, Lower Lane, Liverpool, L9 7AL, UK.

出版信息

Foot Ankle Surg. 2013 Jun;19(2):118-20. doi: 10.1016/j.fas.2012.12.004. Epub 2013 Jan 10.

Abstract

BACKGROUND

Benefits of day case foot and ankle surgery include reduced hospital stay, cost savings, high patient satisfaction, quicker recovery with no increased complications. The preoperative foot and ankle group was set up in 2007 to reduce inpatient hospital stays and increase the rate of day case procedures.

METHODS

We evaluated length of stay and physiotherapy intervention for all our patients during the first three months of 2007-2011.

RESULTS

Median length of stay was statistically significant (p<0.05) in all groups apart from the ankle group. Day case surgery rates increased in all groups apart from hindfoot group but the result was only significant for forefoot and midfoot groups.

CONCLUSION

The results show that the setting up our group has resulted in reduced inpatient stay, increase in day case surgery rates with significant cost savings.

摘要

背景

日间足踝手术的益处包括缩短住院时间、节省成本、提高患者满意度、更快的康复速度且无并发症增加。术前足踝科于 2007 年成立,旨在缩短住院时间并提高日间手术比例。

方法

我们评估了 2007 年至 2011 年三个月期间所有患者的住院时间和物理治疗干预情况。

结果

除踝关节组外,所有组的住院时间中位数均有统计学意义(p<0.05)。除后足组外,所有组的日间手术比例均有所增加,但仅在前足和中足组有显著差异。

结论

结果表明,我们科室的成立降低了住院时间,提高了日间手术比例,并显著节省了成本。

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