Short-stay hospitalisation for thyroid surgery - a feasible option in a resource constrained community.

IF 0.4 4区 医学 Q4 SURGERY South African Journal of Surgery Pub Date : 2024-10-01
E Tagar, J Kpolugbo, A A Okomayin, C Odion, I M Chukwu, H O Chukwuma
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Abstract

Background: Short-stay thyroid surgery is still nascent in developing nations like Nigeria. With the increasing cost of healthcare, there is consistently the need to reduce healthcare delivery costs. Short-stay services in selected cases meet this goal, in addition to other benefits of short hospital stays. This study aimed to highlight the feasibility of the practice of short-stay thyroidectomy in a rural tertiary hospital in Nigeria.

Methods: The study is a retrospective review of all patients who had short-stay thyroidectomy in a rural tertiary hospital in Nigeria from January 2017 to December 2021.

Results: The study reviewed 73 patients admitted for thyroidectomy on a short-stay basis within the study period. There were 70 (95.9%) females and three (4.1%) males, giving a ratio of 23:1 and a mean age of 39.8 years. Sixty-eight (93.2%) patients had no complications, and the others had minor complications that did not otherwise prolong their hospitalisation. Seventy-one (97.3%) patients were discharged within 24 hours of surgery, while two (2.7%) were discharged within 48 hours. There were no readmissions, and no mortality was recorded.

Conclusion: Short-stay hospitalisation for thyroid surgery is feasible and a viable alternative to the conventional 72-hour postoperative hospital stay in our setting.

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甲状腺手术的短期住院治疗--在资源有限的社区是一种可行的选择。
背景:短期甲状腺手术在尼日利亚等发展中国家仍处于起步阶段。随着医疗成本的不断增加,降低医疗服务成本的需求始终存在。除了短期住院的其他益处外,在选定病例中提供短期住院服务也符合这一目标。本研究旨在强调在尼日利亚一家农村三级医院开展短期甲状腺切除术的可行性:该研究对2017年1月至2021年12月期间在尼日利亚一家农村三级医院接受短期甲状腺切除术的所有患者进行了回顾性回顾:研究回顾了在研究期间接受短期甲状腺切除术的 73 名患者。其中女性70人(95.9%),男性3人(4.1%),男女比例为23:1,平均年龄为39.8岁。68名(93.2%)患者无并发症,其他患者有轻微并发症,但并未延长住院时间。71名患者(97.3%)在术后24小时内出院,2名患者(2.7%)在48小时内出院。没有再入院病例,也没有死亡病例:甲状腺手术的短期住院治疗是可行的,在我们的环境中,它是传统术后72小时住院治疗的可行替代方案。
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来源期刊
CiteScore
0.80
自引率
20.00%
发文量
43
审稿时长
>12 weeks
期刊介绍: The South African Journal of Surgery (SAJS) is a quarterly, general surgical journal. It carries research articles and letters, editorials, clinical practice and other surgical articles and personal opinion, South African health-related news, obituaries and general correspondence.
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