Ribeiro Leandro Masini, Cosme Fillipe Agra DE Oliveira, Lara Paulo Henrique Schmidt, Pochini Alberto DE Castro, Ejnisman Benno, Belangero Paulo Santoro
Universidade Federal de São Paulo, Escola Paulista de Medicina, Centro de Traumatologia do Esporte, São Paulo, SP, Brazil.
Universidade Federal de São Paulo, Escola Paulista de Medicina, Departamento de Ortopedia e Traumatologia, São Paulo, SP, Brazil.
Acta Ortop Bras. 2023 Oct 23;31(5):e264837. doi: 10.1590/1413-785220233105e264837. eCollection 2023.
Anterior shoulder instability causes functional changes that affect patients' quality of life. The Latarjet procedure is one of the most frequently performed surgeries for cases of recurrent shoulder instability.
To assess the level of satisfaction of patients who underwent the Latarjet procedure in outpatient settings (day hospital) compared with inpatient settings.
A questionnaire was administered to both groups and a descriptive analysis of the results was performed.
51 patients were included, with a mean age of 29.9 years, 82.3% men and 17.6% women. Of the patients who underwent surgery in the day hospital, 46.1% were operated within 100 days of their first outpatient visit; among those in the inpatient group, 76.3% underwent surgery more than 200 days later. Delays occurred in 15.3% of cases in the day hospital compared with 68.4% in the inpatient group. Of the patients in the day hospital, 92.3% felt comfortable contacting the medical team in case of complications and would perform the procedure again in the same setting. Moreover, 63.2% of inpatients would have preferred to have been discharged on the same day. The final satisfaction rate for both groups was 100%.
Outpatient surgery guarantees more patient comfort, safety, and can be performed in a timely manner and with fewer delays, which has influenced patients' decision to have surgery during the COVID-19 pandemic.
肩关节前向不稳会导致功能改变,影响患者生活质量。Latarjet手术是复发性肩关节不稳最常施行的手术之一。
评估在门诊环境(日间医院)与住院环境下接受Latarjet手术患者的满意度。
对两组患者进行问卷调查,并对结果进行描述性分析。
纳入51例患者,平均年龄29.9岁,男性占82.3%,女性占17.6%。在日间医院接受手术的患者中,46.1%在首次门诊就诊后100天内接受手术;住院组患者中,76.3%在200多天后接受手术。日间医院15.3%的病例出现延迟,而住院组为68.4%。在日间医院的患者中,92.3%在出现并发症时感觉与医疗团队联系很方便,并且愿意在相同环境下再次接受该手术。此外,63.2%的住院患者希望能在当天出院。两组的最终满意率均为100%。
门诊手术能保证患者更高的舒适度和安全性,且能及时进行,延迟较少,这影响了患者在新冠疫情期间进行手术的决定。