Preoperative respiratory intervention eliminated the operation cancelations of lobectomy surgery.
In Nagasaki University Hospital, the patients undergoing surgery with abnormal respiratory function have been automatically referred to specialized clinic by Medical Support Center (MSC) since July 2016 to reduce surgery cancellations due to insufficient preoperative evaluation. Whether the MSC syst...
| Publicado en: | Journal of Medical Systems Vol. 46; no. 6; pp. 1 - 13 |
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| Autores principales: | , , , , , , , , , , , , |
| Formato: | Journal Article |
| Publicado: |
Springer Nature
Jun2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=157061579&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 157061579 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01485598 4N0 jtl: Journal of Medical Systems issn: 01485598 maglogo: N pubinfo: dt: Jun2022 vid: 46 iid: 6 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 157061579 10.1007/s10916-022-01811-5 157061579 ppf: 1 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Preoperative respiratory intervention eliminated the operation cancelations of lobectomy surgery. aug: au: Yamaguchi, Eriho Obase, Yasushi Fukahori, Susumu Iriki, Jun Kawano, Tetsuya Sakamoto, Noriho Doi, Ryoichiro Matsumoto, Keitaro Tsuchiya, Tomoshi Fukushima, Chizu Matsumoto, Takehiro Nagayasu, Takeshi Mukae, Hiroshi affil: Nagasaki University School of Medicine, Sakamoto 1-7-1, 852-8102, Nagasaki, Japan sug: ab: In Nagasaki University Hospital, the patients undergoing surgery with abnormal respiratory function have been automatically referred to specialized clinic by Medical Support Center (MSC) since July 2016 to reduce surgery cancellations due to insufficient preoperative evaluation. Whether the MSC system decreased post-hospital surgery cancellation, variance rate, or length of hospital stays in patients received “lobectomy” were retrospectively compared between Period A (n = 264, before MSC introduction) and Period B (n = 264, after MSC introduction). Four patients’ operations were cancelled after hospitalization in Period A, while 0 patients in Period B (p < 0.05). The length of hospital stay, operation time, anesthesia time, and postoperative extubation oxygen administration time were all shorten in Period B significantly. “Period B”, “operation time”, and “postoperation oxygenation time” were independent factors for “hospital days”, but chronic obstructive pulmonary disease or age were not. The preoperative intervention eliminated the operation cancellation. Preoperative MSC interventions may have contributed to the reduction in hospital days even for the patients with pulmonary dysfunction. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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