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1.
J Med Case Rep ; 16(1): 179, 2022 May 04.
Artigo em Inglês | MEDLINE | ID: mdl-35505373

RESUMO

BACKGROUND: The present case contributes to the limited literature on delayed chest wall hematomas following blunt trauma. The literature review provides a summary of similar previously reported cases. CASE PRESENTATION: We report the case of a 59-year-old Caucasian male who presented to the emergency department with a rapidly expanding chest wall hematoma. Six weeks earlier, he had sustained multiple rib fractures and a pneumothorax after falling 4 m from a ladder. Computed tomography angiography was used to identify two sources of active bleeding on the left dorsal scapular artery. The patient underwent surgery with evacuation of the hematoma and ligation of the artery. The patient was hospitalized for 3 days and recovered with no sequelae. CONCLUSIONS: A literature review revealed eight previously reported cases of chest wall hematomas exterior to the endothoracic fascia following blunt trauma. Most cases were initially diagnosed by computed tomography of the chest and finally by angiogram. Management options range from surgical drainage to angiographic embolization. This case is unusual regarding the delay in the development of the hematoma and illustrates the importance of considering this diagnosis even weeks after relevant trauma.


Assuntos
Fraturas das Costelas , Traumatismos Torácicos , Ferimentos não Penetrantes , Artérias , Hematoma/diagnóstico por imagem , Hematoma/etiologia , Hematoma/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Fraturas das Costelas/complicações , Fraturas das Costelas/diagnóstico por imagem , Fraturas das Costelas/cirurgia , Traumatismos Torácicos/complicações , Traumatismos Torácicos/diagnóstico por imagem , Traumatismos Torácicos/cirurgia , Ferimentos não Penetrantes/complicações , Ferimentos não Penetrantes/diagnóstico por imagem
2.
Ned Tijdschr Geneeskd ; 1662022 04 19.
Artigo em Holandês | MEDLINE | ID: mdl-35499610

RESUMO

We present the case of a 79-year old woman with acute abdominal swelling and pain after coughing. She was in hemorrhagic shock and received blood transfusion after which hemodynamic stabilization occured. This case illustrates that a rectus sheath hematoma can be the (uncommon) cause of acute abdominal pain and shock.


Assuntos
Abdome Agudo , Reto do Abdome , Dor Abdominal/diagnóstico , Dor Abdominal/etiologia , Idoso , Tosse/etiologia , Edema/complicações , Edema/etiologia , Feminino , Hematoma/complicações , Hematoma/etiologia , Humanos
5.
Pediatr Int ; 64(1): e15189, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-35522839

RESUMO

BACKGROUND: Kidney biopsies are crucial in the diagnosis of kidney diseases but they carry the risk of various complications, most commonly hematoma. Here we tried to identify the predictors of hematomas as a complication of kidney biopsies and we constructed an algorithm to stratify the risk. METHODS: The present report retrospectively reviewed 118 pediatric percutaneous kidney biopsies of native kidneys in 102 children (59 females) with the median age of 9 years (range: 1-19 years) at Kumamoto University Hospital between August 2008 and October 2019. We defined hematoma size using the hematoma index: the short axis of the hematoma/major axis of the kidney on ultrasonography. The inclusion criteria for a hematoma as a complication of a kidney biopsy were hematoma index ≥0.1 and the presence of concomitant, post-kidney biopsy fever or flank pain. RESULTS: Eight patients presented with a hematoma as a complication. All had hematoma index ≥0.1 and age ≥6 years. On univariate logistic analysis, these patients had a larger hemoglobin (Hgb) decrease on post-biopsy day 1, which was unrelated to a Hgb decrease 2 h after the biopsy, than the patients with no hematoma. All eight patients with a hematoma presented with a fever or flank pain on post-biopsy days 5 to 7, underscoring the need to observe patients with decreased Hgb carefully for about 1 week after a biopsy. CONCLUSION: Predictors of hematoma as a complication in children after a kidney biopsy were hematoma index ≥0.1, age >6 years, and Hgb decrease ≥15% on post-biopsy day 1.


Assuntos
Dor no Flanco , Hematoma , Adolescente , Adulto , Biópsia/efeitos adversos , Criança , Pré-Escolar , Feminino , Febre/etiologia , Dor no Flanco/complicações , Dor no Flanco/patologia , Hematoma/complicações , Hematoma/etiologia , Hemoglobinas , Humanos , Lactente , Rim/diagnóstico por imagem , Rim/patologia , Masculino , Estudos Retrospectivos , Adulto Jovem
6.
Cir Pediatr ; 35(2): 94-98, 2022 Apr 01.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-35485759

RESUMO

INTRODUCTION: Page kidney (PK) is a rare condition caused by parenchymal compression due to a subcapsular hematoma. Irreversible damage of the graft may occur if this condition is not recognized and treated properly. CLINICAL CASE: We describe the case of a 16-year-old man with chronic renal failure secondary to corticosteroid-resistant nephrotic syndrome (CRNS) caused by NPHS2 mutations. The patient underwent a 5th fifth living-related KT. The graft was placed intraperitoneally and reperfused well without complications. On the 4th postoperative day his labs demonstrated raising creatinine associated with refractory hypertension, gross hematuria and anemia. Urgent ultrasound revealed a subcapsular hematoma with signs of parenchymal compression. PK phenomenon was suspected and urgent surgical intervention decided. COMMENTS: PK is a rare but an emergence potentially treatable and reversible complication after pediatric KT. Early diagnosis based on clinical suspicion and suggestive imaging are the key points for a favorable outcome.


INTRODUCCION: El riñón de Page (RP) es una enfermedad rara provocada por compresión parenquimatosa debido a un hematoma subcapsular. El injerto puede sufrir daños irreversibles si la enfermedad no se reconoce y se trata de forma adecuada. CASO CLINICO: Describimos el caso de un varón de 16 años con fallo renal crónico secundario a síndrome nefrótico corticorresistente (SNCR) provocado por mutaciones del gen NPHS2. El paciente se somete a un quinto TR de donante vivo. El injerto se coloca en posición intraperitoneal, con una adecuada reperfusión, sin complicaciones. Al cuarto día postoperatorio, sus análisis revelan una subida de la creatinina asociada a hipertensión refractaria, hematuria macroscópica y anemia. La ecografía de urgencia revela hematoma subcapsular con signos de compresión parenquimatosa. Se sospecha RP y se decide intervención quirúrgica de urgencia. COMENTARIOS: El RP es una complicación rara y urgente, aunque a su vez tratable y reversible, tras TR pediátrico. El diagnóstico precoz basado en la sospecha clínica y las imágenes son claves a la hora de conseguir un resultado favorable.


Assuntos
Hipertensão , Falência Renal Crônica , Transplante de Rim , Adolescente , Criança , Feminino , Hematoma/etiologia , Hematoma/cirurgia , Humanos , Hipertensão/etiologia , Rim , Falência Renal Crônica/complicações , Masculino
7.
Ann Card Anaesth ; 25(2): 153-157, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35417960

RESUMO

Background: Epidural analgesia (EA) is effective in patients undergoing minimal invasive repair of pectus excavatum (MIRPE) but is associated with major complications such as epidural hematomas. It is recommended to assess coagulation status in patients receiving anticoagulant therapy prior to EA, although no consensus exists in patients without a history of bleeding tendency or anticoagulant therapy. Thus, the aim of this paper was to assess 1) the prevalence of abnormal routine coagulation parameters, i.e., international normalized ratio (INR) and platelet count, and 2) the safety of EA in patients undergoing MIRPE. Methods: In this retrospective study, we identified 1,973 patients undergoing MIRPE at our center between 2001 and 2019. Complications related to EA were registered for all patients. Information on coagulation parameters was present in 929 patients. Patients with spontaneously elevated INR ≥1.5 were referred for assessment of coagulation factor VII in order to assess the cause of the elevated INR. Results: Of 929 patients with coagulation information available, 18 patients had spontaneously elevated INR ≥1.5 (1.9%). In patients with INR ≥1.5, 12 patients underwent further assessment of factor VII, with all patients having a slightly reduced factor VII close to the lower reference range. The majority of the 1,973 patients undergoing MIRPE received EA (99.6%) with very low complication rates (0.2%) and no incidence of epidural hematomas. Conclusion: In patients undergoing MIRPE, coagulation screening prior to EA should not be mandatory as it revealed no clinically relevant consequences. EA is safe with very low complication rates.


Assuntos
Analgesia Epidural , Tórax em Funil , Anticoagulantes/uso terapêutico , Fator VII , Tórax em Funil/etiologia , Tórax em Funil/cirurgia , Hematoma/etiologia , Humanos , Procedimentos Cirúrgicos Minimamente Invasivos/efeitos adversos , Estudos Retrospectivos
8.
J Stroke Cerebrovasc Dis ; 31(6): 106475, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35417846

RESUMO

OBJECTIVES: To explore whether radiomic features of perihematomal tissue can improve the forecasting accuracy for the prognosis of patients with an intracerebral hemorrhage (ICH). MATERIALS AND METHODS: In total, 118 ICH patients were retrospectively studied that had a clinical and radiological diagnosis of spontaneous ICH. The functional outcome 3 months after ictus was measured using the modified Rankin Scale (mRS), which was divided into good (mRS ≤ 2) and poor outcomes (mRS > 2). A total of 2260 radiomics features were obtained from non-contrast computer tomography (NCCT) images, with 1130 features extracted from the hematoma and the hematoma plus perihematoma. The high-dimensional data was modeled by a logistic regression algorithm and the accuracy of the model was verified by five-fold cross-validation. The predictive performance of radiomics models was assessed by the area under the receiver operating characteristic (ROC) curve. RESULTS: In the test set, the mean ROC area under the curve (AUC) of the hematoma set to predict the prognosis of ICH was 0.83, and the specificity and sensitivity were 78% and 81%, respectively. When the hematoma and perihematomal tissue were combined, the mean AUC increased to 0.88, and the specificity and sensitivity reached 85% and 84%, respectively. The hematoma plus perihematoma model showed a significantly higher AUC and specificity. CONCLUSIONS: Analysis of the hematoma and perihematomal tissue NCCT-based radiomics could potentially identify the progression of a hematoma more accurately and could be a valuable clinical target to enhance the prediction of outcomes in patients with ICH.


Assuntos
Hemorragia Cerebral , Hematoma , Hemorragia Cerebral/diagnóstico por imagem , Hemorragia Cerebral/terapia , Hematoma/diagnóstico por imagem , Hematoma/etiologia , Hematoma/terapia , Humanos , Aprendizado de Máquina , Curva ROC , Estudos Retrospectivos
9.
Am J Emerg Med ; 55: 174-179, 2022 05.
Artigo em Inglês | MEDLINE | ID: mdl-35366587

RESUMO

PURPOSE: Timely identification and treatment of intracranial hematomas in patients with brain injury is essential for successful treatment. This study evaluates Infra-scanner as a handy medical screening tool for diagnosing, on-site, cerebral hematomas in patients with head injury. MATERIALS AND METHODS: Patients referred to the emergency department of university hospitals with mild to moderate brain trauma, up to 12 h from injury were included. NIR sensors of infra-scan device were placed on the right and left frontal, temporal, peritoneal and occipital parts of the head and light absorption was recorded. Positive or negative cerebral hemorrhage cases were compared with contrast-enhanced CT scan results as the gold standard. Diagnostic parameters of the device and cases related to bleeding were analyzed and reported. RESULTS: A total of 300 patients were studied. Sensitivity of the infrasound scanner in the Iranian study population was 94.8 (95% CI: 88% -100) and its specificity was 86.9 (95% CI: 79% -99% 99). Negative predictive value (NPV) was 90.3% and positive predictive value (PPV) was 92.9%. Sensitivity in men (95.7%) (95%CI, 90% -1) was more than women (95% CI, 81% -99%)90%. At the ages of less than 36 years, sensitivity (95.3%) and specificity (87.1%) were more than sensitivity (94.4%) and specificity (86.5%) over 36 years old. If the test had been performed in less than / equal to two hours from trauma, the sensitivity (94.9%) and the specificity (92%) were greater than the sensitivity (94.6%) and the specificity (75%) during when the scan had been performed in more than two hours from trauma. In general, in extra-axial bleeding including EDH, SAH, SDH, the sensitivity was 95.1% and the specificity was 84.5%, while in intra-axial bleeding, including ICH and IVH, the sensitivity was lower (93.9%) and the specificity was 91.7. The sensitivity of the device in detecting bleeding in the occipital lobe (95.8%) was higher than other brain lobes. CONCLUSION: This study shows that Infra-scanner is useful in initial examination and screening of patients with head injury and can be used as an adjunct to a CT scan or when not available and may allow earlier treatment which reduce the secondary damage to the hematoma.


Assuntos
Traumatismos Craniocerebrais , Adulto , Encéfalo/diagnóstico por imagem , Hemorragia Cerebral/complicações , Hemorragia Cerebral/diagnóstico por imagem , Traumatismos Craniocerebrais/diagnóstico , Traumatismos Craniocerebrais/diagnóstico por imagem , Feminino , Hematoma/diagnóstico por imagem , Hematoma/etiologia , Humanos , Irã (Geográfico) , Masculino
10.
J Clin Neurosci ; 100: 46-51, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35397255

RESUMO

There is a paucity of information regarding the optimal timing of initiation or re-initiation of therapeutic anticoagulation after intracranial surgery. Anticoagulation that is started too soon after surgery may increase the risk of catastrophic intracranial bleeding. However, there are scenarios that necessitate the use of anticoagulation in the immediate post-operative period despite the increased risk of hemorrhage. Therefore, we sought to report our experience with ultra-early therapeutic anticoagulation after craniotomy. Retrospective chart review of patients from a single institution between 1/1/2010 and 10/1/2021 who were treated with therapeutic anticoagulation for venous thromboembolism on or before 7-days after a craniotomy or craniectomy. The primary endpoint was intracranial hemorrhage resulting in death or return to the operating room for hematoma evacuation. Secondary endpoints included extra-cranial hemorrhage, length of hospital stay, and 90-day readmission rate. Eighteen patients were included for analysis. The median time that therapeutic anticoagulation was started was post-operative day 5 (range 1-7 days). One patient (5.6%) met the primary endpoint as they experienced an intracranial hemorrhage 5 days after starting anticoagulation, which required surgical evacuation. No patients experienced an extra-cranial hemorrhage. The median length of hospitalization was 13 days (range 4-89 days). No patients were readmitted within 90 days. The 90-day survival rate was 100%. Ultra-early anticoagulation after craniotomy resulted in a 5.6% risk of intracranial hemorrhage. Thus, ultra-early anticoagulation can be performed safely but it does carry a substantial risk of intracranial bleeding that may require emergent hematoma evacuation or result in permeant neurologic deficits or death.


Assuntos
Craniotomia , Hemorragias Intracranianas , Anticoagulantes/uso terapêutico , Craniotomia/efeitos adversos , Craniotomia/métodos , Hematoma/etiologia , Humanos , Hemorragias Intracranianas/tratamento farmacológico , Hemorragias Intracranianas/etiologia , Hemorragias Intracranianas/cirurgia , Estudos Retrospectivos
11.
Hinyokika Kiyo ; 68(3): 75-79, 2022 Mar.
Artigo em Japonês | MEDLINE | ID: mdl-35468699

RESUMO

Subcapsular renal hematoma is a complication of extracorporeal shock wave lithotripsy or percutaneous nephrolithotripsy. Although it can occur after transurethral ureterolithotripsy (TUL), there is no consensus on the risk factors, outcomes, and its management. This study aimed to elucidate the clinical courses of patients with subcapsular hematoma after TUL. We retrospectively investigated 1,235 patients who underwent TUL from October 2011 to December 2020 at our hospital and identified cases with subcapsular hematoma diagnosed after surgery. Subcapsular hematoma was diagnosed in 5 of the 1,235 (0.40%) patients, whose median age was 63 (49-69) years. The median operation time, hematoma diameter, and hemoglobin decrease were 66 (35-115) min, 8.2 (5.4-10.5) cm, and 1.6 (0.7-2.6) g/dl, respectively. All patients were conservatively managed without invasive interventions (eg, embolization), although one patient required blood transfusion. In conclusion, this study presented five cases with renal subcapsular hematoma after TUL that could be conservatively managed. It is important not to miss the timing of therapeutic intervention while observing the progress after diagnosis.


Assuntos
Cálculos Renais , Litotripsia , Feminino , Hematoma/diagnóstico por imagem , Hematoma/etiologia , Hematoma/terapia , Humanos , Rim , Cálculos Renais/terapia , Litotripsia/efeitos adversos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos
12.
Ulus Travma Acil Cerrahi Derg ; 28(5): 711-713, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35485473

RESUMO

After infratrochlear nerve block for nasolacrimal probing, sudden vision loss, proptosis, pain, loss of light reflexes, and a total limitation of ocular movement was observed in a 71-year-old female patient. She was diagnosed with retrobulbar hemorrhage and orbital compartment syndrome (OCS). Lateral canthotomy, cantholysis, and medial orbitotomy were performed on the patient. She was not taking any oral anticoagulant medication and did not have any disease other than hypothyroidism and systemic hy-pertension. All the clinical findings returned to normal right after the intervention except mild ptosis (~1 mm), which persisted for 2 months. All patients scheduled for periocular anesthesia should be questioned about using oral anticoagulant medications, and the possibility of serious complications should be kept in mind even for patients without any risk factors. Patients with OCS secondary to retrobulbar hemorrhage should be surgically managed within the critical window (90 min) to prevent any irrevers-ible optic nerve injury.


Assuntos
Síndromes Compartimentais , Bloqueio Nervoso , Hemorragia Retrobulbar , Idoso , Anticoagulantes , Síndromes Compartimentais/complicações , Síndromes Compartimentais/cirurgia , Feminino , Hematoma/diagnóstico , Hematoma/etiologia , Hematoma/cirurgia , Humanos , Bloqueio Nervoso/efeitos adversos , Hemorragia Retrobulbar/diagnóstico , Hemorragia Retrobulbar/etiologia , Hemorragia Retrobulbar/cirurgia
14.
J Orthop Surg Res ; 17(1): 235, 2022 Apr 12.
Artigo em Inglês | MEDLINE | ID: mdl-35414010

RESUMO

BACKGROUND: Osteonecrosis of the femoral head is one of the most severe complications in systemic lupus erythematosus (SLE) patients. Total hip arthroplasty (THA) is an effective treatment for femoral head necrosis. However, there is no consensus on the specific effect of THA on SLE patients. The objective of the present study was to review the current evidence regarding rates of THA complications and postoperative function in systemic lupus erythematosus. METHODS: Two independent reviewers searched PubMed, Cochrane Library, and EMBASE from January 1, 2000, to December 29, 2021. The primary outcomes were postoperative complications, including deep vein thrombosis (DVT), hematoma, wound infection, dislocation, periprosthetic fracture, revision, mortality. RESULTS: A total of 179 articles yielded 28 studies eligible for inclusion with 10 studies used for meta-analysis. This study found a statistically significant difference in DVT, dislocation, wound infection, periprosthetic fracture, and revision. CONCLUSIONS: This meta-analysis shows that SLE patients with THA are at an increased risk of DVT, wound infection, dislocation, periprosthetic fracture, revision, periprosthetic joint infection, following THA in comparison with non-SLE patients with THA. There was no adequate evidence to support the notion that the risk of seroma or hematoma following THA is increased in SLE. Also, there was no significant difference in HHS scores between SLE patients and non-SLE patients after THA.


Assuntos
Artroplastia de Quadril , Lúpus Eritematoso Sistêmico , Fraturas Periprotéticas , Infecção dos Ferimentos , Artroplastia de Quadril/efeitos adversos , Hematoma/etiologia , Humanos , Lúpus Eritematoso Sistêmico/complicações , Lúpus Eritematoso Sistêmico/cirurgia , Fraturas Periprotéticas/etiologia , Fraturas Periprotéticas/cirurgia , Reoperação , Estudos Retrospectivos , Infecção dos Ferimentos/etiologia
15.
J Interv Cardiol ; 2022: 2141524, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35401064

RESUMO

Aims: Left distal transradial arterial approach (ldTRA) is a new interventional route that spares right radial artery (RRA) for use in haemodialysis and as bypass graft. Vasant Kunj Left dIstal Transradial ArtEry approach (VKLITE) study aimed to assess the feasibility and safety of ldTRA access during coronary angiography (CAG) and percutaneous coronary intervention (PCI). Methods and Results: Between April 2018 and June 2020, 108 patients were enrolled and underwent CAG ± PCI via ultrasound guided ldTRA. Arterial puncture, CAG, and PCI were successful in 96.3% (104/108), 92.1% (93/101), and 94.1% (32/34) patients, respectively. Access site crossover rate was 14/108 (13.0%). Mean puncture, procedure, and haemostasis time (minutes) were 6.7 ± 7.1, 55.7 ± 32.8, and 23.1 ± 11.9. Median total fluoroscopic time was 6.6 minutes (IQR-14.2), and median total radiation dose was 39.2 Gy-cm2 (IQR-97.0). Local haematoma occurred in 11 patients (10.2%) with major haematoma in 1.9%, all recovering within three weeks. Mean pain score was 2.4 ± 2.3, and patient satisfaction score was 9.0 ± 1.3. LdTRA access compared with RRA access (n = 121) showed significantly increased mean procedure time (55.7 ± 32.8 vs. 43.9 ± 26.0 minutes, p = 0.01) and median total fluoroscopic time (6.6 [IQR-14.2] vs. 4.7 [IQR-8.2] minutes, p = 0.02), with similar median total radiation dose (39.2 [IQR-97.0] vs. 43.8 [IQR-54.5] Gy-cm2, p = 0.56). No radial artery loss, dissection, pseudoaneurysm, arteriovenous fistula, or nerve injury was noted. Conclusions: LdTRA access is feasible with few complications during CAG/PCI. Patient comfort and satisfaction makes it a desirable route for coronary interventions.


Assuntos
Intervenção Coronária Percutânea , Artéria Radial , Angiografia Coronária/efeitos adversos , Angiografia Coronária/métodos , Estudos de Viabilidade , Hematoma/etiologia , Humanos , Intervenção Coronária Percutânea/efeitos adversos , Artéria Radial/cirurgia , Ultrassonografia de Intervenção/efeitos adversos
16.
BMJ Case Rep ; 15(3)2022 Mar 29.
Artigo em Inglês | MEDLINE | ID: mdl-35351766

RESUMO

We present a case of surgical site haematoma developed in a female patient with breast cancer who had undergone modified radical mastectomy. On investigation, the underlying aetiology was detected to be axillary artery branch pseudoaneurysm. The patient was managed with the minimally invasive technique of angioembolisation with coils. A multidisciplinary approach resulted in an excellent outcome. The patient made good recovery without any residual impairment.


Assuntos
Falso Aneurisma , Neoplasias da Mama , Falso Aneurisma/diagnóstico por imagem , Falso Aneurisma/etiologia , Falso Aneurisma/cirurgia , Artéria Axilar/cirurgia , Neoplasias da Mama/complicações , Neoplasias da Mama/cirurgia , Feminino , Hematoma/diagnóstico por imagem , Hematoma/etiologia , Hematoma/cirurgia , Humanos , Mastectomia/efeitos adversos , Mastectomia/métodos
17.
J Healthc Eng ; 2022: 1323678, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35251559

RESUMO

OBJECTIVE: To explore the application effect of a whole-process seamless nursing model based on the smart healthcare mode in the perioperative period of patients undergoing hematoma removal. METHODS: In this retrospective study, 50 patients with hematoma removal admitted to our hospital from August 2018 to August 2019 were included as the control group (CG), while 50 patients with hematoma removal admitted to our hospital from September 2019 to September 2020 were included as the experimental group (EG). During the period of hematoma removal, CG received routine perioperative nursing, while EG received the whole-process seamless nursing model based on the smart healthcare mode. The perioperative indexes, hemodynamic indexes, and the incidence of postoperative complications were compared between the two groups, and the incidence of nursing staff's work omissions in different periods was analyzed. RESULTS: Notable differences were observed in surgical time, intraoperative blood loss, hematoma clearance rates, length of ICU stay, hospitalization time, removal time of ventricular drainage tube, and cerebral edema volume at 1 week after surgery between EG and CG (P < 0.05). Compared with CG, EG achieved obviously better hemodynamic indexes (P < 0.001) and a lower incidence of bedsore, muscle atrophy, and eating/swallowing disorders (P < 0.05). During the implementation of smart healthcare, the incidence of nursing staff's work omissions was remarkably reduced (P < 0.05). CONCLUSION: Under the smart healthcare, the incidence of nursing staff's work omissions is lower, and the effect of the whole-process seamless nursing is better, which can optimize the perioperative indexes of patients, stabilize the postoperative hemodynamics, and reduce the incidence of complications. Therefore, the whole-process seamless nursing model based on the smart healthcare mode has promotion value in clinic.


Assuntos
Atenção à Saúde , Hematoma , Hematoma/etiologia , Humanos , Modelos de Enfermagem , Período Perioperatório/efeitos adversos , Estudos Retrospectivos
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