spine杂志201701下半期摘要翻译ppt课件.ppt

ABSTRACT Objective. The purpose of this study was to determine implementing an accelerated protocol could decrease our average hospital stay and what impact this had on postoperative pain management. 目的：本研究的目的是确定实施加速方案可以减少我们的平均住院时间和对术后疼痛管理有什么影响。 ABSTRACT Summary of Background Data. To our knowledge, no prior studies have reviewed the effect of an accelerated discharge protocol on postoperative pain control for adolescent idiopathic scoliosis (AIS) following posterior spinal fusion. 背景资料：据我们所知，先前没有研究报道加速出院方案对青少年特发性脊柱侧凸（AIS）后路脊柱融合术后疼痛控制的效果。 ABSTRACT Methods. This is a retrospective review of all consecutive patients undergoing posterior spinal fusion (PSF) for AIS before (June 1, 2008–May 31, 2013 = traditional protocol) and after (June 1, 2013–October 22, 2014 = accelerated protocol) protocol implementation. Subjective response to the FACES Pain Intensity scale was collected for each postoperative day while in the hospital by the nursing staff. 方法：这是一个对所有接受后路脊柱融合（PSF）AIS患者的回顾，2008年6月1日至2013年5月31日使用传统方案，2013年6月1日至2014年10月22日使用术后快速康复。主观反应是评估住院每一天的疼痛强度视觉模拟化量表。 ABSTRACT Results. There were 194 patients in the traditional pathway and 90 patients in the accelerated pathway. No significant differences in age at surgery, sex, or number of levels fused were present between the groups. Patients managed under the accelerated discharge had an average hospital stay of 3.7 days compared with 5.0 days for the traditional discharge (P 0.001). There was no increased incidence of wound complications between the two groups [3.6% (7/194) vs. 3.3% (3/90), P = 0.91] or readmission [1.5% (3/194) vs. 4.4% (4/90), P = 0.213]. Hospital charges for postoperative care were significantly less in the accelerated discharge group than in the traditional group ($18,360 vs. $23,640, P 0.0001). This corresponded to a 22% ($5280/$23,640) decrease in postoperative hospital charges. Patients had a small (1 point change on FACES pain scale) but statistically significant increase in pain on postoperative