Torrington K G, Henderson C J
Respiratory Care Department, St. Luke's Regional Medical Center, Boise, Idaho.
Chest. 1988 May;93(5):946-51. doi: 10.1378/chest.93.5.946.
In an effort to contain the expense of respiratory therapy modalities as well as to provide the level of respiratory care most appropriate for postoperative patients, we devised a perioperative respiratory therapy program (PORT). We describe the response of 1,476 consecutive patients treated by our Respiratory Care Department prior to and during the first year of PORT. Surgical procedures were divided into ten categories. The PORT group had significantly lower cost than the non-PORT group in two of the categories, with a significantly higher cost in one. We describe the advantages of PORT, which were identified by participating surgeons, respiratory therapists, and patients. We present a simple, bedside, risk assessment form which enabled us to predict the risk of postoperative pulmonary complications and to provide more aggressive respiratory therapy interventions to higher-risk patients.
为了控制呼吸治疗方式的费用，并为术后患者提供最适宜的呼吸护理水平，我们制定了一项围手术期呼吸治疗计划（PORT）。我们描述了在PORT开展的第一年之前及期间，由我们呼吸护理科连续治疗的1476例患者的反应。外科手术分为十类。PORT组在其中两类中的费用显著低于非PORT组，在一类中的费用显著更高。我们描述了PORT的优势，这些优势是由参与的外科医生、呼吸治疗师和患者确定的。我们提供了一种简单的床边风险评估表，它使我们能够预测术后肺部并发症的风险，并为高风险患者提供更积极的呼吸治疗干预措施。
