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首页> 外文期刊>JMIR Perioperative Medicine >Postoperative Home Monitoring After Joint Replacement: Retrospective Outcome Study Comparing Cases With Matched Historical Controls
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Postoperative Home Monitoring After Joint Replacement: Retrospective Outcome Study Comparing Cases With Matched Historical Controls

机译：关节置换术后的术后家庭监护：回顾性研究，比较病例与匹配的历史对照

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Background: A retrospective cohort study was conducted in patients undergoing postoperative home monitoring (POHM) following elective primary hip or knee replacements. Objective: The objectives of our study were to compare the cost per patient, readmissions rate, emergency room visits, and mortality within 30 days to the historical standard of care using descriptive analysis. Methods: After Research Ethics Board approval, patients who were enrolled and had completed a POHM study were individually matched to historical controls by age, American Society of Anesthesiology class, and procedure at a ratio 1:2. Results: A total of 54 patients in the study group and 107 in the control group were eligible for the analysis. Compared with the historical standard of care, the average cost per case was Can $5826.32 (SD 1418.89) in the POHM group and Can $9198.58 (SD 1513.59) for controls. After 30 days, there were 2 emergency room visits (3.7%) and 0 readmissions in the POHM group, whereas there were 8 emergency room visits (7.5%) and 2 readmissions (1.9%) in the control group. No mortalities occurred in either group. Conclusions: The POHM study offers an early hospital discharge pathway for elective hip and knee procedures at a 38% reduction of the standard of care cost. The multidisciplinary transitional POHM team may provide a reliable forum to minimize readmissions, and emergency room visits within 30 days postoperatively.
机译：背景：一项回顾性队列研究是对选择性行髋关节或膝关节置换术后接受术后家庭监护（POHM）的患者进行的。目的：我们的研究目的是使用描述性分析将每位患者的费用，再入院率，急诊就诊率和30天内的死亡率与历史护理标准进行比较。方法：在研究伦理委员会批准后，按年龄，美国麻醉学会的分类和操作按1：2的比例对入组并完成POHM研究的患者分别与历史对照进行匹配。结果：研究组共有54例患者，对照组有107例符合分析条件。与历史护理标准相比，POHM组每例平均成本为5826.32加元（SD 1418.89），对照组为9198.58加元（SD 1513.59）。 30天后，POHM组进行了2次急诊就诊（3.7％），再次入院0例，而在对照组中，进行了8次急诊就诊（7.5％）和2次再入院（1.9％）。两组均未发生死亡。结论：POHM研究为选择性髋关节和膝关节手术提供了较早的出院途径，将护理费用标准降低了38％。多学科过渡性POHM团队可以提供可靠的论坛，以最大程度地减少再入院，并在术后30天内进行急诊就诊。

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