术后“右侧位”住院：随机对照试验
"Right" stay in hospital after sugery: randomised controlled trial.
作者信息
Simpson J E, Cox A G, Meade T W, Brennan P J, Lee J A
出版信息
Br Med J. 1977 Jun 11;1(6075):1514-6. doi: 10.1136/bmj.1.6075.1514.
A randomised controlled trial was carried out on 100 patients to compare the effects of discharge after certain pre-specified clinical criteria had been fulfilled--"right" stay--with those of discharge at an arbitrary 10 days after surgery--"fixed" stay. The operations concerned (cholecystectomy and vagotomy) were more hazardous than those previously included in studies of early discharge. Patients in the right-stay group were discharged, on average, 7-6 days after operation--that is, two days earlier than those in the fixed-stay group. In terms of clinical progress, social factors such as return to work, and the acceptability to patients and relatives of the implications of right stay, patients in this group fared as well as those in the fixed-stay group, and in some respects slightly better. Right stay entailed the transfer of some work from hospital to community medical and nursing staff, but this also was acceptable. The concept and use of the right-stay principle is of value in planning the postoperative discharge of suitable patients.
对100名患者进行了一项随机对照试验，以比较在满足某些预先指定的临床标准后出院——“正确”住院时间——与术后任意10天出院——“固定”住院时间——的效果。所涉及的手术（胆囊切除术和迷走神经切断术）比先前早期出院研究中的手术风险更大。正确住院时间组的患者术后平均7 - 6天出院，即比固定住院时间组的患者早两天出院。在临床进展、诸如重返工作等社会因素以及患者及其亲属对正确住院时间影响的接受度方面，该组患者的情况与固定住院时间组患者相同，且在某些方面略好。正确住院时间意味着将一些工作从医院转移到社区医疗和护理人员，但这也是可以接受的。正确住院时间原则的概念和应用在规划合适患者的术后出院方面具有价值。
Zotero 插件