日间手术在髋膝关节置换的应用1四川大学华西医院.ppt

Same-DayDischargeinTotalJointArthroplastyMay,20182016级硕士研究生:罗泽宇研究生导师:周宗科教授?ThedemandforTJAisincreasing?Fast-trackTJA:LOS<3days?Outpatient:?dischargedonsamedaypostoperative(lessthan12-hourstay)?Financialanalysis?OutpatientTJAwouldsave$?plication,mortality,readmissionandreoperation?Riskfactorandpatientselection?Generalcondition:age,gender,BMI?Historicalorcurrentdisease:diabetes,cardiacdisease,pulmonarydisease,renaldisease?Surgicalprocedure?Generalorregionalorspinalanesthesia?Standardorminiincision?Tourniquet,drainage?Perioperativemanagementanddischarge?PostoperativefunctionandrehabilitationArticle##1?Aim:parematchedcohortsofpatientswhounderwentsame-plicationsand30-dayreadmissionrates?Design:retrospectivematchedcohortsstudy?Datasource:ACS-NSQIPregistryfrom517UShospitalfrom2005-2014?plications,readmissionrates?Generalcharacter:?177,818patients,1,236outpatients,176,582inpatientsDemographicsAdverseeventsAdverseeventsinTHAAdverseeventsinTKAAdverseeventsinUKA