RESUMO
A retrospective study of a systematic sample of 150 patients who underwent abdominal surgery revealed that 53 (35.3%) had all intraoperative temperatures in the hypothermic range (<36.0°C). Fifty-two (98.1%) of the 53 patients met 1 or both surgical care improvement project criteria for normothermia. Improved metrics are needed to assure normothermia.
Assuntos
Temperatura Corporal , Documentação/normas , Hipotermia/diagnóstico , Cuidados Intraoperatórios/normas , Melhoria de Qualidade , Abdome/cirurgia , Anestesia Geral , Humanos , Hipotermia/fisiopatologia , Hipotermia/terapia , Guias de Prática Clínica como Assunto , Estudos RetrospectivosRESUMO
This is a retrospective database study of veterans who had total knee arthroplasty (TKA) at Veterans Affairs Connecticut Healthcare System. The objective of this study is to determine if VistA medical records data can be used to create a methodology for accurate assessment of waiting times for TKAs performed at Veterans Affairs facilities. The average waiting period from date of "initial consult" to date TKA was performed was greater than two years. The average waiting period from "most recent consult" to TKA was less than a year. This new approach and methodology has great impact as it provides an electronic method for calculating the TKA wait time which is broadly generalizable for similar analysis at the VISN (Veteran Integrated Services Network) or regional level.