Acta Orthop Belg. 2021 Jun;87(2):211-217.
Hand emergencies represent the most frequent traumatic injuries and outpatient surgery is still improving. It will achieve 70% of total surgeries by 2022. Our hand trauma center has been able to set up an emergency day surgery department in a university hospital center. With this article, we would like to report the ambula- tory care management and practice for hand emer- gencies in our university hospital center over 2 years. 892 patients suffering from hand traumas and managed in our day surgery department, were retro-spectively reviewed between January 2016 and December 2017. Patients' demographic data, anesthe- tic data, trauma's circumstances, medical care and surgical outcomes have been disclosed. A descriptive analysis and a statistical assessment was realized. Cut injury was the most recorded case, followed by impactions. Tendon injuries were the most frequent (32%), followed by fractures (26%), and exposed joints (18%). 13% of injuries were nil findings. Average patient care delay was 1.16 days. Mean of hospitalization was 7.5 hours. 16/892 patients needing intravenous antibiotics required hospitalization. 41 complications including 27 secondary surgeries were reported. Hospital facilities are forced to reassess their entire procedures to achieve efficiency and improvement for healthcare. Progress in outpatient surgery permits emergency management in hand surgery, improving patient cares both medically and economically.
手部急症是最常见的创伤性损伤，门诊手术仍在不断改进。到 2022 年，它将占总手术量的 70%。我们的手部创伤中心已经能够在大学医院中心设立一个急诊日间手术部门。通过本文，我们将报告我们大学医院中心 2 年来手部急症的门诊护理管理和实践。2016 年 1 月至 2017 年 12 月，我们回顾性地分析了在日间手术部门接受治疗的 892 名手部创伤患者。患者的人口统计学数据、麻醉数据、创伤情况、医疗护理和手术结果均已披露。进行了描述性分析和统计学评估。切割伤是最常见的记录病例，其次是撞击伤。肌腱损伤最为常见（32%），其次是骨折（26%）和关节外露（18%）。13%的损伤没有发现。平均患者护理延迟为 1.16 天。平均住院时间为 7.5 小时。892 名患者中有 16 名需要静脉用抗生素，需要住院治疗。报告了 41 种并发症，包括 27 例二次手术。医院设施被迫重新评估他们的整个程序，以提高医疗效率和改善医疗保健。门诊手术的进步允许手部外科急症管理，在医学和经济上都改善了患者护理。
