Griffiths M, Waters W E, Acheson E D
Br Med J. 1979 Mar 24;1(6166):787-9. doi: 10.1136/bmj.1.6166.787.
A study was carried out of 1086 men aged 16-65 inclusive who were admitted under nine consultants to eight hospitals in Wessex for elective repair of an inguinal hernia. The mean postoperative stay was 5.7 +/- SD 2.7 days. For different consultants operating at any one hospital the mean postoperative stays were similar, whereas for consultants who operated at more than one hospital they were significantly different. The postoperative stay was also significantly related to the size of the hospital, development of postoperative complications, time spent on the waiting list, type of repair used, bilateral herniorrhapy, and the use of convalescent facilities. The hospital therefore appears to exercise a greater influence in determining the mean postoperative stay than does the individual consultant.
对1086名年龄在16至65岁(含)之间的男性进行了一项研究,这些男性因择期腹股沟疝修补术由9名顾问医生收治于威塞克斯郡8家医院。术后平均住院时间为5.7±标准差2.7天。在任何一家医院,不同顾问医生的术后平均住院时间相似,而在多家医院开展手术的顾问医生,其术后平均住院时间则有显著差异。术后住院时间还与医院规模、术后并发症的发生、等待手术名单上的时间、所采用的修补类型、双侧疝修补术以及康复设施的使用显著相关。因此,与个别顾问医生相比,医院在决定术后平均住院时间方面似乎发挥着更大的影响。