Issue 08
June 2024
OPEN ACCESS
Wagner et al.
目的:本研究旨在描述在社区非学术医疗系统背景下实施的胎盘植入症 (PAS) 护理模式和结果。
研究设计:PAS 管理计划包括多学科团队方法,并采用超声评估、诊断和手术方案。该计划在美国明尼苏达州双城最大的两家私立医院实施。在实施 PAS 计划之前(2007-2014 年,n = 41)和之后(2015-2017 年,n = 26),对组织病理学确诊的 PAS 病例的母婴结局以及费用进行了比较。
结果:实施 PAS 计划后,ICU 入院率从 53.7% 降至 19.2%,p = 0.005;平均估计失血量 (EBL) 减少 1,682 毫升 (p = 0.061);输血量从 85.4% 降至 53.9% (p = 0.005)。PAS 计划还使手术并发症从 48.8% 降至 38.5% (p = 0.408),术后并发症从 61.0% 降至 42.3% (p = 0.135),但未达到显著水平。实施计划后 3 年内,PAS 病例的总护理成本下降了 33%。
结论:在大型区域非学术转诊中心实施由围产医学实践主导的 PAS 护理模式,可减少 ICU 入院人数、手术时间、输血、选择性手术并发症、总体术后并发症和费用。
要点:
实施 PAS 护理模式后,ICU 入院率从 53.7% 降至 19.2%。
通过减少失血、输血和术后并发症,提高了患者安全性。
该模式缩短了手术时间,并将总护理成本降低了 33%。
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American Journal of Perinatology为同行评审国际期刊,每年出版14期,内容涉及原创研究和专题综述。它是产科学、新生儿科学、围产科学和母胎医学专家的权威论坛,侧重于衔接不同领域。
本刊主要关注临床和转化研究,诊断、监测和治疗方面的临床和技术进展以及循证评述。热门主题包括孕产妇、胎儿和新生儿疾病的流行病学及诊断、预防和管理。出版的稿件涉及新技术、新生儿重症监护病房 (NICU) 设置和护理等主题,以期对该领域的重要问题进行广泛的探讨。
所有论文均通过在线提交,经过严格的同行评审,稿件处理速度快,可同时提供电子版。AJP Reports是American Journal of Perinatology的姊妹期刊,为新生儿和母胎医学病例报告的开放获取期刊。