初次全髋关节置换术的质量保证
Quality assurance in primary total hip arthroplasty.
作者信息
Koutras Christos, Becker Isabel, Antoniou Stavros A, Heep Hansjoerg
机构信息
Musculoskeletal Center Moenchengladbach, Neuwerk Hospital, Duenner Straße, 214-216, Moenchenglabach, Germany.
University Duisburg-Essen, Hufelandstraße 55, 45147, Essen, Germany.
出版信息
J Orthop. 2020 Mar 24;21:122-126. doi: 10.1016/j.jor.2020.03.009. eCollection 2020 Sep-Oct.
OBJECTIVE
To compare two different methods of clinical outcomes documentation and investigate the potential impact of a quality assurance program.
METHODS
Data on primary hip arthroplasties conducted between 2004 and 2014 were prospectively collected and analyzed.
RESULTS
A total of 262/3395 patients suffered a postoperative complication. A reduction of complication rate was observed between 2010 and 2014. A significant difference between the two documentation methods was found in: "cardiovascular complications", "hematoma and postoperative hemorrhage" and "reintervention". Finally, the "normalized length of hospital stay" predicted the occurrence of complications.
CONCLUSION
Reduction of the incidence of complications through time may be attributed to accumulated surgical experience.
目的
比较两种不同的临床结果记录方法，并调查质量保证计划的潜在影响。
方法
前瞻性收集并分析2004年至2014年间进行的初次髋关节置换术的数据。
结果
共有262/3395例患者发生术后并发症。2010年至2014年间观察到并发症发生率有所降低。两种记录方法在“心血管并发症”、“血肿和术后出血”以及“再次干预”方面存在显著差异。最后，“标准化住院时间”可预测并发症的发生。
结论
随着时间推移并发症发生率的降低可能归因于积累的手术经验。
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