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基于贝叶斯分析的加速康复外科(ERAS)指导下髋关节置换术住院时间的影响因素分析

Bayesian Analysis of Length of Stay Determinants in ERAS-Guided Hip Arthroplasty.

作者信息

Yao Nan, Wang Xiaoyan, Yang Meng, Wang Xinglei, Dou Xinman

机构信息

School of Nursing, Lanzhou University, Lanzhou 730000, China.

Department of Nursing, The Second Hospital of Lanzhou University, Lanzhou 730030, China.

出版信息

Healthcare (Basel). 2025 Mar 31;13(7):777. doi: 10.3390/healthcare13070777.

Abstract

: Total hip arthroplasty in China expanded rapidly post-2019. The length of hospital stay in these procedures reflects healthcare quality standards. This study analyzed the correlation between preoperative clinical factors and the length of hospital stay in total hip arthroplasty patients managed via an enhanced recovery after surgery protocol. : Preoperative clinical variables were collected from total hip arthroplasty patients in an accelerated rehabilitation program. One-way ANOVA and other statistical methods analyzed correlations between these data and hospitalization time. : A total of 408 patients were included, with a mean length of stay of 12.01 ± 4.281 days. Right lower extremity strength ( = 2.794, = 0.005), activities of daily living score ( = -3.481, = 0.001), C-reactive protein ( = -2.514, = 0.016), thrombin time ( = -2.393, = 0.019), and prothrombin activity ( = 2.582, = 0.013) can directly affect the length of stay in patients with total hip arthroplasty. Also, age ( = 1.958, = 0.006) and erythrocyte sedimentation rate ( = -2.519, = 0.015) were found to affect the length of hospital stay indirectly. : This study demonstrated that right lower extremity strength, activities of daily living score, C-reactive protein, thrombin time, and prothrombin activity significantly influence the length of hospital stay in enhanced recovery after surgery-managed total hip arthroplasty patients. Therefore, early interventions should be made to address the above factors.

摘要

2019年后中国全髋关节置换术迅速发展。这些手术的住院时间反映了医疗质量标准。本研究分析了通过术后加速康复方案治疗的全髋关节置换术患者术前临床因素与住院时间之间的相关性。:从加速康复计划中的全髋关节置换术患者收集术前临床变量。采用单因素方差分析和其他统计方法分析这些数据与住院时间之间的相关性。:共纳入408例患者,平均住院时间为12.01±4.281天。右下肢力量(F = 2.794,P = 0.005)、日常生活活动评分(F = -3.481,P = 0.001)、C反应蛋白(F = -2.514,P = 0.016)、凝血酶时间(F = -2.393,P = 0.019)和凝血酶原活动度(F = 2.582,P = 0.013)可直接影响全髋关节置换术患者的住院时间。此外,年龄(F = 1.958,P = 0.006)和红细胞沉降率(F = -2.519,P = 0.015)被发现间接影响住院时间。:本研究表明,右下肢力量、日常生活活动评分、C反应蛋白、凝血酶时间和凝血酶原活动度显著影响术后加速康复治疗的全髋关节置换术患者的住院时间。因此,应尽早对上述因素进行干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f94/11989033/eeb22221be81/healthcare-13-00777-g001.jpg

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