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首页> 外文期刊>Health services management research: an official journal of the Association of University Programs in Health Administration >The effects on length of stay of introducing a fast track patient pathway for myocardial infarction: A before and after evaluation
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The effects on length of stay of introducing a fast track patient pathway for myocardial infarction: A before and after evaluation

机译:引入的对停留时间的影响快速跟踪病人心肌的途径梗死:之前和之后的评价

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摘要

The aim was to assess whether the implementation of a fast-track patient pathway (FTPP) at an invasive treatment ward (ITW) could reduce the length of hospital stay (LOHS), among patients with non-ST Elevation Myocardial Infarction (NSTEMI). A before-and-after study was carried out, based on historical data from a total of 202 patients with NSTEMI admitted to a coronary ITW during two inclusion periods each lasting 100 days (Period I, 2004, no fast track, 95 consecutive patients; Period II, 2005, fast track implemented, 107 consecutive patients). Patients were followed during 180 days as concerns the total LOHS. A total of 33 patients passed through the FTPP. Their mean total LOHS was significantly shorter (3.3 days reduction; 95% CI 1.7, 5.5 days) as compared with all Period II patients. In total, Period II patients, however, spent significantly more days (mean, 1.7 days more; 95% CI 0.2, 3.3 days) in hospital than Period I patients. Thus, the implementation of FTPP reduced the mean LOHS for patients selected for the FTPP, but the mean LOHS for other patients rose and so the overall mean LOHS turned out to be significantly prolonged. The implementation of FTPP appears a complicated matter; changing one component has consequences for the wider health-care system.
机译:其目的是评估是否实现病人的快速途径(FTPP)在一次侵入性治疗病房(公司)可以减少患者住院时间(loh)non-ST海拔心肌梗死(NSTEMI)。基于历史数据,共计202冠状动脉ITW NSTEMI患者承认在两个包含时间持续100年天(我,2004年,没有快速通道,95年连续的病人;107个连续的患者实施,)。随访期间,180天的担忧总loh。FTPP。短(减少3.3天;第二天)与所有时期的病人。然而,第二期患者更天(意思是,1.7天;0.2 CI, 3.3天)比时期我在医院病人。减少意味着loh病人选择FTPP,但意味着loh其他病人玫瑰,所以整体意味着loh证明显著延长。FTPP出现复杂的问题;组件具有广泛的后果医疗保健系统。

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