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首页> 外文期刊>BMC Musculoskeletal Disorders >Current status survey of the extramural hospital management of venous thromboembolism after total hip and knee arthroplasty in China
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Current status survey of the extramural hospital management of venous thromboembolism after total hip and knee arthroplasty in China

机译：中国总髋关节关节术后静脉血栓栓塞露营医院管理现状调查

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Venous thromboembolism (VTE) is a potentially fatal complication after arthroplasty. Numerous prophylactic strategies and studies to reduce VTEs have focused on the duration of the hospital stay and on few extramural hospitals. This study aimed to investigate extramural hospital management of VTE after total hip/knee arthroplasty (THA/TKA) in China with a novel survey tool. A total of 180 patients undergoing arthroplasty, including 68 THA patients and 112 TKA patients, were enrolled in this study. All patients received anticoagulant treatment management. A survey querying VTE management and adherence, such as therapy information, understanding of anticoagulation, satisfaction with the ability of medical staff, and satisfaction with health care costs, was administered by a questionnaire (TKA/THA Patients’ Experience with Anticoagulation in the Post-discharge Period) for quality improvement. The average age of the patients was 65.27?±?13.62 years. All patients knew their follow-up times. 85?% of them were suggested that re-examine at the next 14 days, and the others at the next 28 days. All patients continued to visit the orthopaedic clinic after discharge without choosing other types of outpatient services, such as an anticoagulant clinic or home visit with a nurse/pharmacist or remote evaluation by telephone. A total of 96.6?% of all patients used new oral anticoagulants, and the most common treatment duration was 2–4 weeks (93.3?%). 48?% informed their physicians that they were taking anticoagulation medications when they visited ophthalmology, dentistry, dermatology, and other departments. The overall rate of satisfaction with anticoagulation management was 81.67?%, and 6.67?% of patients were not unsatisfied with their medical expenses. Patient compliance decreased with increasing follow-up time. Continuous follow-ups after discharge significantly improved patient compliance. These results elucidate how we can improve the quality of anticoagulation. Continuous follow-up appointments for 30 days after discharge, especially for individuals over 65 years old, significantly improved patient satisfaction and reduced the incidence of VTE and medical costs.
机译：静脉血栓栓塞（VTE）是关节造身术后致命的并发症。减少VTE的许多预防策略和研究都集中在住院持续时间和少数露营医院。本研究旨在通过新的调查工具调查中国总髋关节/膝关节置换术（THA / TKA）后VTE的露营医院管理。共有180例接受关节成形术，包括68例患者和112名TKA患者，参加了这项研究。所有患者均接受抗凝血治疗管理。调查查询vte管理和遵守，如治疗信息，对抗凝，对医务人员的能力的满意度以及对医疗保健成本的满意度，由问卷（TKA / THA患者的抗凝治疗在后果的经验放电期间）质量改进。患者的平均年龄为65.27？±13.62岁。所有患者都知道他们的后续时间。有85岁？其中一个人被建议在未来14天内重新审查，并在未来28天内重新审查。所有患者在出院后继续访问整形外科诊所，而无需选择其他类型的门诊服务，例如通过电话/药剂师或通过电话进行远程评估的抗凝诊所或家访。所有患者的总共有96.6？％患者使用新的口服抗凝血剂，最常见的治疗持续时间为2-4周（93.3μm）。 48岁？当他们访问眼科，牙科，皮肤病和其他部门时，他们的医生们被告知他们正在服用抗凝血药物。抗凝管理总体满意度的总体满意度为81.67？％，6.67？％患者对其医疗费用不满意。随着随访时间的增加，患者的顺应性减少。放电后连续随访显着改善患者依从性。这些结果阐明了我们如何提高抗凝品质。排放后30天的连续后续预约，特别是对于65岁以上的个人，显着提高患者满意度，降低了VTE的发病率和医疗费用。

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