普通外科患者的30天再入院率及其原因
30-Day Readmission Rate and its Causes in General Surgical Patients.
作者信息
Sultan Rizwan, Abdullah Umme Hani, Chawla Tabish
机构信息
Department of Surgery, The Aga Khan University Hospital, Karachi.
Medical Student, The Aga Khan University Hospital, Karachi.
出版信息
J Coll Physicians Surg Pak. 2018 Apr;28(4):314-316. doi: 10.29271/jcpsp.2018.04.314.
OBJECTIVE
To find out the 30-day readmission rate for different surgical procedures and determine the causes for readmissions.
STUDY DESIGN
An audit report.
PLACE AND DURATION OF STUDY
Department of Surgery, The Aga Khan University Hospital, Karachi, in the calendar year 2014.
METHODOLOGY
Records were retrospectively reviewed for 30-day readmission rate and their cause in general surgical patients who underwent a general surgical procedure at The Aga Khan University Hospital, Karachi, in the year 2014.
RESULTS
Out of 217 (6.4%) readmissions in 3,387 patients, more than 50% unplanned readmissions were avoidable. The highest readmission rate was after placement of feeding tubes (28.5%).
CONCLUSION
More than half of the readmissions could have been prevented by proper patient/attendant education, good communication and provision of nursing services to these patients beyond the hospital.
目的
了解不同外科手术的30天再入院率，并确定再入院原因。
研究设计
一份审计报告。
研究地点和时间
2014日历年，卡拉奇阿迦汗大学医院外科。
方法
回顾性分析2014年在卡拉奇阿迦汗大学医院接受普通外科手术的普通外科患者的30天再入院率及其原因。
结果
在3387例患者中，有217例（6.4%）再入院，超过50%的非计划再入院是可以避免的。再入院率最高的是放置喂食管后（28.5%）。
结论
通过对患者/护理人员进行适当教育、良好沟通以及在院外为这些患者提供护理服务，超过一半的再入院情况本可避免。
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