Các yếu tố tác động đến thời gian lưu viện sau phẫu thuật thay khớp gối toàn phần tại Nhật Bản: Nghiên cứu hồi cứu sử dụng cơ sở dữ liệu kết hợp chẩn đoán và thủ thuật

Kazuyoshi Hara1, Masato Kanda2, Yoshio Kobayashi2, Takashi Miyamoto3, Takahiro Inoue4
1Department of Operation Center, National Hospital Organization Nagasaki Medical Center, Nagasaki, 856-8562, Japan
2Department of Cardiovascular Medicine, Chiba University Graduate School of Medicine, Chiba, 260-8677, Japan
3Department of Orthopedic Surgery, National Hospital Organization Nagasaki Medical Center, Nagasaki, 856-8562, Japan
4Department of Healthcare Management Research Center, Chiba University Hospital, 1-8-1 Inohana, Chuo-Ku, Chiba, Chiba, 260-8677, Japan

Tóm tắt

Tóm tắt Đặt vấn đề

Mục tiêu của chúng tôi là đánh giá thời gian lưu viện sau phẫu thuật thay khớp gối toàn phần nhằm xác định ảnh hưởng của các yếu tố liên quan bằng dữ liệu từ cơ sở dữ liệu Kết hợp Chẩn đoán và Thủ thuật.

Phương pháp

Đây là một nghiên cứu hồi cứu quan sát. Đối tượng nghiên cứu bao gồm 5.831 bệnh nhân mắc bệnh thoái hóa khớp gối và đã thực hiện phẫu thuật thay khớp gối toàn phần từ tháng 2 năm 2018 đến tháng 10 năm 2022 tại 38 bệnh viện.

Kết quả

Phân tích đa biến cho thấy các yếu tố ảnh hưởng đến thời gian lưu viện bao gồm: độ tuổi (p < 0.001), chiều cao (p < 0.001), trọng lượng (p = 0.049), chỉ số khối cơ thể (p = 0.008), chỉ số Barthel (p < 0.001), phương pháp gây mê (p < 0.001), cấy ghép xương (p = 0.010), thời gian phục hồi sau phẫu thuật (p < 0.001), rung nhĩ (p < 0.001), đau mãn tính (p < 0.001), và số lượng ca điều trị tại cơ sở y tế (p < 0.001) (r = 0.451, p < 0.001).

Kết luận

Thời gian lưu viện ngắn hơn hoặc dài hơn được phát hiện có liên quan đến các đặc điểm nền tảng của bệnh nhân và các yếu tố cụ thể của cơ sở y tế; điều này có thể dẫn đến ước lượng chính xác hơn về thời gian lưu viện và phân bổ nguồn tài nguyên hợp lý.

Từ khóa


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