专门的骨科创伤室的各种迭代的相关结果:文献综述

IF 0.4 Q4 MEDICINE, RESEARCH & EXPERIMENTAL AIMS Medical Science Pub Date : 2022-01-01 DOI:10.3934/medsci.2022024
K. Biddle, K. Pagidas
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引用次数: 0

摘要

长期以来,安排紧急骨科创伤病例一直是卫生保健机构面临的挑战。传统上,这些病例被安排在午夜的手术室(OR)时段,通过将选择性病例“挤”到当天晚些时候,通过在下班时间增加一个病例,或者将病例推迟几天直到有手术室可用。为了解决传统调度模式面临的挑战,全国各地的创伤中心已经开始使用专门的骨科创伤室(DOTR)。虽然有多项研究分析了DOTRs对各种结果的影响,但没有对这些研究进行集中审查。本文将回顾DOTR的各种模型,以及DOTR对下班后手术、手术时间(TTS)、手术持续时间(DOS)、住院时间(LOS)、费用和手术并发症的影响。通过PubMed和Embase对文献进行了广泛的回顾,发现17项研究符合资格标准。这篇综述表明,DOTRs在手术后的操作、成本和手术并发症方面有良好的效果。关于对TTS、DOS和LOS的影响的数据存在可变性。
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Associated outcomes of various iterations of the dedicated orthopaedic trauma room: a literature review
Scheduling urgent, orthopaedic trauma cases has long been a challenge for health care institutions. Traditionally, these cases are scheduled for an operating room (OR) slot in the middle of the night, by “bumping” elective cases to later in the day, by adding a case on after-hours, or by delaying the case for several days until an OR becomes available. As a solution to the challenges facing traditional scheduling modules, trauma centers around the country have instituted the use of a dedicated orthopaedic trauma room (DOTR). While there are multiple studies analyzing the effects of DOTRs on various outcomes, there is not a centralized review of these studies. This paper will serve as a review of the various models of the DOTR as well as the effect of the DOTR on after-hours procedures, time to surgery (TTS), duration of surgery (DOS), length of stay (LOS), cost, and surgical complications. An extensive review of the literature was performed through PubMed and Embase. 17 studies were found to meet eligibility criteria. This review suggests that DOTRs have favorable effects on after-hours procedures, cost, and surgical complications. There is variability in the data regarding the effect on TTS, DOS, and LOS.
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来源期刊
AIMS Medical Science
AIMS Medical Science MEDICINE, RESEARCH & EXPERIMENTAL-
自引率
14.30%
发文量
20
审稿时长
12 weeks
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