Validation of days at home as an outcome measure after surgery: a prospective cohort study in Australia
Validation of days at home as an outcome measure after surgery: a prospective cohort study in Australia
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DOI：
10.1136/bmjopen-2017-015828
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发表时间：
2017-08-01
期刊：
影响因子：
2.9
通讯作者：
Forbes, Andrew
中科院分区：
文献类型：
--
作者：
Myles, Paul S.;Shulman, Mark A.;Forbes, Andrew
目的 评估“手术后 30 天以内的在家天数”（DAH(30)）作为以患者为中心的结局指标。设计前瞻性队列研究。数据来源 使用临床试验数据（七项试验，2109 名患者），我们根据手术后 30 天的住院时间、再入院、出院目的地和死亡计算 DAH(30)。主要结果 DAH(30) 与术后严重并发症之间的关联。结果 一种或多种并发症发生在1846 例患者中的 263 例（14.2%），其中 19 例（1.0%）在手术后 30 天内死亡； 245 名患者 (11.6%) 出院至康复机构，150 名患者 (7.1%) 在手术后 30 天内重新入院。老年患者的中位 DAH 30 显着较低 (p
Objective To evaluate 'days at home up to 30 days after surgery' (DAH(30)) as a patient-centred outcome measure.Design Prospective cohort study.Data source Using clinical trial data (seven trials, 2109 patients) we calculated DAH(30) from length of stay, readmission, discharge destination and death up to 30 days after surgery.Main outcome The association between DAH(30) and serious complications after surgery.Results One or more complications occurred in 263 of 1846 (14.2%) patients, including 19 (1.0%) deaths within 30 days of surgery; 245 (11.6%) patients were discharged to a rehabilitation facility and 150 (7.1%) were readmitted to hospital within 30 days of surgery. The median DAH 30 was significantly less in older patients (p