急性期軽症脳梗塞クリティカルパスのバリアンス分析

DOI Web Site
  • 柴田 靖
    筑波記念病院脳神経外科 筑波大学大学院人間総合科学研究科脳神経機能制御医学脳神経外科学
  • 松下 明
    筑波記念病院脳神経外科
  • 小林 栄喜
    筑波記念病院脳神経外科

書誌事項

タイトル別名
  • Variance analysis of critical pathway for the patient with mild stroke
  • キュウセイキ ケイショウ ノウ コウソク クリティカルパス ノ バリアンス ブンセキ

この論文をさがす

抄録

We introduced new critical pathway for acute phase mild cerebral infarction in 2003. In this paper we reported the results of variance analysis of this pathway. The patient population included 41 patients who admitted and discharged at our hospital between November 2003 and July 2004. The presence of variance and its cause were retrospectively analyzed. Among 41 patients, 1 patient dropped from the critical pathway because patient developed pneumonia. Among 40 patients who used the critical pathway in full term, the patient with positive variance whose length of stay was more than 17days was 16 patients (40%). The patient with negative variance whose length of stay was less than 11 days was 10 patients (25%). The patient without variance whose length of stay was between 12 and 16days was 14 patients (35%). Among each variance groups, there is no age difference. Man is dominant in positive variance group. The causes of positive variance were the complications in 9 patients (56%) and the decision of the patient or family in 7 patients (44%). In the complications, there were 4 patients with diabetes mellitus and 3 of 4 patients newly introduced insulin therapy. One patient waited for a diagnostic test, and another patient waited for a transfer to other facility. There was only one patient whose cause of positive variance was severity of the disease; this means the prediction of outcome was acceptable. The factor of negative variance were mild disease in 9 patients (90%) and 1 patient admitted after infusion therapy at outpatient clinic for a few days by his wish. There was no medical staff factor in the cause of variance. We have a plan to rearrange the contents and usage of this critical pathway, and produce new pathway for effective management of the patients.

収録刊行物

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ