Same day surgery. Coordinating the education process.
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Biomedical subjects
Publications and source records attributed to N Haines.
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The treatment of thoracolumbar spinal fractures has evolved significantly in the last 50 years. Clear classification systems now allow physicians to predict which fracture patterns will require surgery and which may be adequately treated non-operatively. These indications, as well as a brief overview of thoracolumbar spinal fracture care, are presented.
Ninety-six patients (63 females and 33 males) who underwent total joint arthroplasty or spinal reconstructive surgery were randomized to receive either a Solcotrans Plus or a Stryker-CBC ConstaVAC closed-wound drainage system. A binomial test showed that the Stryker-CBC ConstaVAC system was significantly preferred over the Solcotrans Plus system for ease of use, as reported by nurses. However, Solcotrans Plus was more cost-effective because a larger volume of blood shed by a patient could be reinfused while maintaining the standards of the American Association of Blood Banks. The difference in the occurrence of side effects between the two systems was not statistically significant.
With the advent of prospective pricing, hospitals now have a powerful incentive to improve efficiency and reduce expenses. Prospective pricing incentives are encouraging movement of preoperative teaching out of the inpatient setting. At The Center for Hip and Knee Surgery, a 24-bed research-oriented midwestern orthopaedic hospital, we have developed and implemented an alternative approach to preadmission testing and preoperative patient education.