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麻醉在术后加速康复中的作用:护理结局的革命。

Anaesthesia role in enhanced recovery after surgery: a revolution in care outcomes.

机构信息

Department of Anesthesiology, Pain Medicine and Procedural Sedation and Analgesia, Martini General Hospital Groningen, Groningen, the Netherlands.

Department of Anesthesiology and Critical Care Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

出版信息

Curr Opin Anaesthesiol. 2023 Apr 1;36(2):202-207. doi: 10.1097/ACO.0000000000001248. Epub 2023 Feb 1.

Abstract

PURPOSE OF REVIEW

Enhanced recovery after surgery (ERAS) has revolutionized care outcomes. The purpose of this review is to provide an overview of how ERAS changed healthcare outcomes.

RECENT FINDINGS

Development of multidisciplinary evidence-based ERAS guidelines for specific surgical specialties and systematic implementation of these guidelines resulted in improved healthcare outcomes, reduction in length of stay, reduction in complications and improved survival. The value of audit of the outcomes is essential for implementation and to improve healthcare. Healthcare economics analysis related to the implementation of ERAS showed significant cost savings up to a return to investment ratio of more than seven.

SUMMARY

ERAS has revolutionized healthcare by developing evidence-based ERAS guidelines and systematic implementation of these guidelines. Audit of outcomes is essential, not only to improve healthcare but also to significantly save healthcare expenditures.

摘要

目的综述

术后加速康复(ERAS)彻底改变了医疗护理的结果。本文旨在概述 ERAS 如何改变医疗护理的结果。

最近发现

为特定外科专业制定多学科循证 ERAS 指南,并系统实施这些指南,改善了医疗护理结果,缩短了住院时间,减少了并发症,并提高了生存率。对结果进行审核对于实施和改善医疗护理至关重要。与 ERAS 实施相关的医疗经济学分析显示,可节省大量成本,投资回报比高达 7 以上。

总结

ERAS 通过制定循证 ERAS 指南和系统实施这些指南彻底改变了医疗护理。对结果进行审核不仅可以改善医疗护理,还可以显著节省医疗支出。

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