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JGH Open: 周末效应不影响炎症性肠病的治疗效果

2020-03-15 MedSci原创 MedSci原创

周末效应是指医护人员由于感觉到周末的来临而导致周末前一天效率低下而导致病患预后恶化的假说。因此,本项研究的目的是评估IBD患者在周末和工作日治疗效果的差异。

 背景:周末效应是指医护人员由于感觉到周末的来临而导致周末前一天效率低下而导致病患预后恶化的假说。因此,本项研究的目的是评估IBD患者在周末和工作日治疗效果的差异。

方法:研究人员从国家住院样本数据库中纳入了本项研究样本,出现需要住院的并发症是选择患者的依据。并评估了周末和工作日入院期间发生疾病复发的患者的首次手术时间,住院时间(LOS)和费用的差异。

结果:第一次手术的时间是周末为3.33天,而工作日为3.19天(P <0.001)。当周末和工作日之间入院时,平均LOS较短(8.01天对8.22天,P <0.001)。最后,平日入院费用比周末入院费用高($ 18 072 vs $ 17 495,P <0.001)。

结论:结果显示,与工作日相比,周末与急性发作管理相关的LOS和成本相似。尽管许多高危疾病在周末表现出更高的死亡率和更长的住院时间,但这种现象似乎并未影响IBD。

原始出处:

Alana Persaud. Et al. The weekend effect does not influence management of inflammatory bowel disease. J Gastroenterology H. 2020.

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    2020-10-02 feather89
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    2020-03-16 内科新手

    谢谢梅斯提供这么好的信息,学到很多

    0

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    2020-03-16 CHANGE

    疗效只是效果的众多方面之一,还要看对患者的获益,包括生活质量等因素共同决定效果的

    0

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