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Influence of Surgery Preparation Time on Patient Outcomes.
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- Author(s): Jang, Hey-Jin; Lee, Sun-Mi
- Source:
Journal of Nursing Management. 5/30/2024, Vol. 2024, p1-10. 10p. - Source:
- Additional Information
- Subject Terms: RISK assessment; RESEARCH funding; TASK performance; BODY mass index; CREATININE; T-test (Statistics); MULTIPLE regression analysis; RESPIRATORY disease nursing; PREOPERATIVE care; TREATMENT effectiveness; RETROSPECTIVE studies; BLOOD urea nitrogen; LACTATE dehydrogenase; GLASGOW Coma Scale; DESCRIPTIVE statistics; CHI-squared test; OPERATIVE surgery; LONGITUDINAL method; SURGICAL complications; NURSING services administration; CREATINE kinase; ODDS ratio; MEDICAL records; ACQUISITION of data; CONVALESCENCE; INTENSIVE care units; PATIENT satisfaction; LENGTH of stay in hospitals; COMPARATIVE studies; CONFIDENCE intervals; TIME; OPERATING rooms; SURGICAL site; ANESTHESIA; MECHANICAL ventilators; APACHE (Disease classification system)
- Subject Terms:
- Abstract: Aims. This study aimed to analyze the effects of the surgery preparation time on patient outcomes. Background. Postoperative complications have a decisive effect on postoperative survival. The anesthesia time is a crucial determinant of such complications. Competent operating room nurses can shorten the surgery preparation time, which is the time from when anesthesia is first administered to the making of the surgical incision. The shortening of this preparation time can shorten the anesthesia time and may reduce postoperative complications. However, discussion of this preparation time is insufficient. Therefore, this study analyzed the effect of the surgery preparation time on patient outcomes. Methods. From electronic health records data, this retrospective cohort study used the data of 1,944 patients who had been immediately admitted to the ICU after their surgery between 2017 and 2020. The patients were divided into two groups: ≥30 minutes preparation time and <30 minutes preparation time groups. We performed chi-squared tests and t-tests to determine differences in preoperation, intraoperation, and postoperation characteristics of the patients and patient outcomes based on the surgery preparation time. Furthermore, we performed a multiple logistic regression by including 12 adjusted variables to determine the influence of the surgery preparation time on patient outcomes. Results. Among the 1,944 patients, 820 were in the ≥30 minutes preparation time group and 1,124 in the <30 minutes preparation time group. The multiple logistic regression analysis showed that the surgery preparation time affects alertness (OR = 1.44; 95% CI: [1.09, 1.90]), ventilator application (OR = 1.32; 95% CI: [1.03, 1.70]), and length of stay in the ICU (OR = 1.69; 95% CI [1.16, 2.47]). Conclusions. The surgery preparation time affects postoperative patient outcomes. The competence of operating room nurses is the most essential aspect of the surgery preparation time. Implications for Nursing Management. It is important to analyze operating room nurses' tasks, standardize the tasks, and educate nurses according to their experience level to reduce the surgery preparation time and improve patient outcomes. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Journal of Nursing Management is the property of Hindawi Limited and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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