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Impact of fast-track surgery on perioperative care in patients undergoing hepatobiliary surgery
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作者 Xiao-Hong Wang Fang-Fang Chen +4 位作者 Jia Pan Yun-Fei Jiang Min-Yue Yao Jia-Li Mao Ya-Feng Xu 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第10期3155-3162,共8页
BACKGROUND Fast-track surgery(FTS)is a modern nursing approach that has gained popularity in the perioperative phase of surgery.AIM To investigate the impact of FTS on perioperative care for hepatobiliary surgery.METH... BACKGROUND Fast-track surgery(FTS)is a modern nursing approach that has gained popularity in the perioperative phase of surgery.AIM To investigate the impact of FTS on perioperative care for hepatobiliary surgery.METHODS A retrospective analysis was performed on 98 patients who underwent hepato-biliary surgery and were admitted to our hospital from August 2021 to October 2023.They were divided into an observation group and a control group with 49 patients in each group according to different nursing directions.The control group was treated with standard nursing and the observation group was treated with FTS concept nursing.The length of hospital stay,visual analog scale(VAS)score,wound complications,nursing satisfaction,self-rating scale(SAS)score,and SF-36 quality of life(QoL)score were compared between the two groups before and after care.RESULTS The duration of hospitalization,hospitalization cost,operation time,first im-plantation time,exhaust time,and first defecation time were shorter than the observation group(P<0.05).Additionally,the observation group showed a sig-nificant difference between the VAS and SAS scores on days 1,3,and 7(P<0.05).The complication rate in the observation group was 4.05%was significantly lower than the 18.36%in the control group,and the comparison groups were statistically significant(χ2=5.018,P=0.025).The observation group had a significantly higher level of nurse satisfaction(94.92%)than the control group(79.59%;χ2=6.078,P=0.014).Both groups showed higher QoL scores after nursing care,with higher scores in the observation group than in the control group(P=0.032).CONCLUSION FTS in patients undergoing hepatobiliary surgery can effectively improve negative mood,QoL,and nursing sa-tisfaction;reduce wound complications;and accelerate patient rehabilitation. 展开更多
关键词 Rapid rehabilitation surgery concept Hepatobiliary surgery Quality of life Wound complications fast track surgery
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Fast-track rehabilitation program vs conventional care after colorectal resection:A randomized clinical trial 被引量:43
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作者 Gang Wang Zhi-Wei Jiang +4 位作者 Jing Xu Jian-Feng Gong Yang Bao Li-Fei Xie Jie-Shou Li 《World Journal of Gastroenterology》 SCIE CAS CSCD 2011年第5期671-676,共6页
AIM:To compare the fast-track rehabilitation program and conventional care for patients after resection of colorectal cancer.METHODS:One hundred and six consecutive patients who underwent fast-track rehabilitation pro... AIM:To compare the fast-track rehabilitation program and conventional care for patients after resection of colorectal cancer.METHODS:One hundred and six consecutive patients who underwent fast-track rehabilitation program were encouraged to have early oral feeding and movement for early discharge,while 104 consecutive patients underwent conventional care after resection of colorectal cancer.Their gastrointestinal functions,postoperative complications and hospital stay time were recorded.RESULTS:The restoration time of gastrointestinal functions in the patients was significantly faster after fasttrack rehabilitation program than after conventional care(2.1 d vs 3.2 d,P < 0.01).The percentage of patients who developed complications was significantly lower 30 d after fast-track rehabilitation program than after conventional care(13.2% vs 26.9%,P < 0.05).Also,the percentage of patients who had general complications was significantly lower 30 d after fast-track rehabilitation program than after conventional care(6.6% vs 15.4%,P < 0.05).The postoperative hospital stay time of the patients was shorter after fast-track rehabilitation program than after conventional care(5 d vs 7 d,P < 0.01).No significant difference was observed in the readmission rate 30 d after fast-track rehabilitation program and conventional care(3.8% vs 8.7%).CONCLUSION:The fast-track rehabilitation program can significantly decrease the complications and shorten the time of postoperative hospital stay of patients after resection colorectal cancer. 展开更多
关键词 Perioperative care fast track Rehabilita-tion Colorectal cancer resection
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Fast track clinical pathway implications in esophagogastrectomy 被引量:24
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作者 Ke Jiang Lin Cheng +2 位作者 Jian-Jun Wang Jin-Song Li Jun Nie 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第4期496-501,共6页
AIM: To investigate the feasibility of fast track clinica pathway for esophageal tumor resections. METHODS: One hundred and fourteen patients with esophageal carcinoma who underwent esophagogastrectomy from January ... AIM: To investigate the feasibility of fast track clinica pathway for esophageal tumor resections. METHODS: One hundred and fourteen patients with esophageal carcinoma who underwent esophagogastrectomy from January 2006 to October 2007 in our department were studied. Fast track clinical pathway included analgesia control, fluid infusion volume control, early ambulation and enteral nutrition. Nasogastric tube was removed 3 d after operation and chest tube was removed 4 d after operation as a routine, and full liquid diet 5 d after operation. RESULTS: Among 114 patients (84 men and 30 women), 26 patients underwent fast track surgery, including 17 patients over 65 years old and 9 under 65 (P = 0.014); 18 patients who had preoperative complications could not bear fast track surgery (P 〈 0.001). No significant differences in tolerance of fast track surgery were attributed to differences in gender, differentiated degree or stage of tumor, pathological type of tumor, or operative incision. The median length of hospital stay was 7 d (5-28 d), 4% patients were readmitted to hospital within 30 d of discharge. Three patients died and postoperative mortality was 2.6%. All 3 patients had no determinacy to fast track surgery approach.CONCLUSION: The majority of patients with esophageal carcinoma can tolerate fast track surgery. Patients younger than 65 or who have no preoperative diseases have the best results. Median length of hospital stay has been reduced to 7 d. 展开更多
关键词 fast track surgery Esophageal carcinoma Esophagogastrectomy
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Impact of centralization of pancreaticoduodenectomy coupled with fast track recovery protocol:a comparative study from India 被引量:6
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作者 Omar J Shah Sadaf A Bangri +3 位作者 Manmohan Singh Reyaz A Lattoo Mohammad Y Bhat Feroze A Khan 《Hepatobiliary & Pancreatic Diseases International》 SCIE CAS CSCD 2016年第5期546-552,共7页
BACKGROUND: Fast track strategy in the management of patients undergoing intra-abdominal surgery of various types has emerged as a landmark approach to reduce surgical stress and accelerate recovery. This study was to... BACKGROUND: Fast track strategy in the management of patients undergoing intra-abdominal surgery of various types has emerged as a landmark approach to reduce surgical stress and accelerate recovery. This study was to evaluate the effect of fast track strategy on patients subjected to pancreaticoduo-denectomy (PD) from an individual unit during transit from low to a high volume center. METHODS: A total of 142 PD patients who had been subjected to fast track strategy between June 2008 and September 2012 were compared with 46 patients who had received convention-al surgery between January 2006 and May 2008. Comparative analysis was made of postoperative complications, postopera-tive recovery, length of hospital stay and patient readmission requirement. RESULTS: The patients subjected to fast track strategy had a faster recovery and a shorter hospital stay than those who were treated conventionally (7.8 vs 12.1 days). The intraoperative events like operative blood loss (417.9±83.8 vs 997.4 ±151.8 mL, P<0.001), blood transfused (a median of 0 vs 1 unit,P<0.001) and operative time taken (125 vs 245 minutes,P<0.001) were signiifcantly lower in the fast track group. The frequency of pancreatic ifstula (4.9% vs 13.0%) and delayed gastric empty-ing (7.0% vs 17.4%) was also signiifcantly reduced with fast track treatment. Nevertheless, the readmission rate (11.3% vs 6.5%) was found relatively higher within the fast track group. However, increased readmission rates in this study seem to be independent of fast track protocol. CONCLUSIONS: This preliminary analysis suggests that the fast track approach might be beneifcial to the well-being of the patients after PD, for it accelerates the immediate clinical recovery of patients and signiifcantly shortens their length of hospital stay. 展开更多
关键词 fast track recovery PANCREATICODUODENECTOMY
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Effect of fast track surgery care on knee joint function in patients with knee joint replacement surgery: A systematic review 被引量:1
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作者 Yong-Hong Deng1 Xue-Yun Hao1 +2 位作者 Hui Zhang1 Zi Zeng1 Guo-Min Song 《TMR Integrative Nursing》 2019年第1期13-20,共8页
Objective: To assess the effect of fast track surgery care on knee joint function in patients with knee joint replacement surgery. Methods: Eighteen databases were searched for randomized controlled trials, focusing o... Objective: To assess the effect of fast track surgery care on knee joint function in patients with knee joint replacement surgery. Methods: Eighteen databases were searched for randomized controlled trials, focusing on evaluation of fast track surgery care on knee joint function in patients with knee joint replacement surgery. Two people independently screened literatures and extracted data according to the inclusion criteria. Then the available data were analyzed with RevMan software (version 5.3.0). Descriptive techniques were performed when no available data could be used. Results: A total of 8 studies were included, for a total sample of 635 patients. The results showed that fast track surgery care can improve Hospital for Special Surgery Knee score at 2 months, 3 months, 6 months, and 1 years after operation [after 2 months (weighted mean difference (WMD), 15.2;95%CI, 13.58 to 16.82;P < 0.01);after 3 months (WMD, 9.42;95%CI, 7.80 to 11.04;P < 0.01);after 6 months,(WMD, 11.01;95%CI, 9.73 to 12.28;P < 0.01);after 1 years (WMD, 10.78;95%CI, 9.33 to 12.24;P < 0.01)]. Fast track surgery care can improve the knee score of American Knee Society Knee Score(WMD, 9.23;95%CI,0.86 - 17.6;P < 0.05), and reduce the incidence of postoperative deep vein thrombosis, constipation, pulmonary infection, urinary tract infection and other complications. Conclusion: Fast track surgery care can promote knee joint function recovery, reduce postoperative deep venous thrombosis, constipation, pulmonary infection and urinary tract infection. However, rigorous large sample and multicenter randomized controlled trials are needed for further validation. 展开更多
关键词 fast track surgery care Knee replacement Systematic review Meta analysis
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APEC ON FAST TRACK
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作者 Chen Fengying 《Contemporary International Relations》 1996年第10期13-21,共9页
The 1993 Seattle First Informal Leaders Meeting elevated it from a ministerialmeeting to a cooperative mechanism at the summit level.The 1994 Bogor Dec-laration then ushered it into a de facto regular mechanism.The 19... The 1993 Seattle First Informal Leaders Meeting elevated it from a ministerialmeeting to a cooperative mechanism at the summit level.The 1994 Bogor Dec-laration then ushered it into a de facto regular mechanism.The 1995 Osaka ActionPlan went a step further to initiate the transition of its function from working outprograms of intent into their enforcement.The forthcoming 1996 Subic Bay Meet-ing will eventually launch it out on fast track. 展开更多
关键词 APEC ON fast TRACK fast
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Fast Track Surgery and Its Outcome in Colorectal Surgery in a Tertiary Care Hospital
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作者 Reza Ahmad Anjuman Sultana +6 位作者 Mohammad Haroon Or-Rashid Tarik Alam Ony Marzina Faruq Mahbubul Islam Ashfeka Gini Kaniz Farhana Golam Mahmud Rayhan 《Open Journal of Gastroenterology》 2022年第3期44-54,共11页
Background: Fast track surgery is an evidence-based multidisciplinary approach. The underlying principle is to enable patients to recover from surgery and leave the hospital sooner by minimizing the stress responses o... Background: Fast track surgery is an evidence-based multidisciplinary approach. The underlying principle is to enable patients to recover from surgery and leave the hospital sooner by minimizing the stress responses on the body during surgery. Our aim was to compare the outcome of fast-track protocol and conventional methods in colorectal surgery. Method: It was an observational cross-sectional study carried out at the Department of Surgery in different tertiary level hospitals, Dhaka Bangladesh during the period January 2014 to December 2017. Among this population, 50 patients were placed in the fast-track program (Group A) from January 2014 to December 2015 and 50 patients were in the conventional method (Group B), from January 2016 to December 2017. The fast-track patients were selected after receiving ethical approval from the Bangladesh College of Physician & Surgeons. Data analysis was done using the statistical package for social science (SPSS) for windows version 20. Results: The average age of the patients was 45.24 ± 16.65 years (range: 11 - 70 years) in the fast track group (Group A) and 43.24 ± 17.76 years in the conventional method (Group B). The majority were female between two groups, with 56% in group A and 52% in group B. General and surgical complications occurred in 9 (18%) patients and 11 (22%) patients respectively in group A. On the other hand in group B general and surgical complications occurred in 10 (20%) patients and 13 (26%) patients respectively. The average hospital stay was 9.24 ± 5.99 days in group A and the average hospital stay was 10.10 ± 6.04 days in group B. Conclusion: Making the decision to adopt fast-track surgery will challenge current traditional practice for all members of the multidisciplinary team across the whole local health community. 展开更多
关键词 COLORECTAL CONVENTIONAL fast Track OUTCOME SURGERY
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Real-time tracking of deformable objects based on MOK algorithm
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作者 Junhua Yan Zhigang Wang Shunfei Wang 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2016年第2期477-483,共7页
The traditional oriented FAST and rotated BRIEF(ORB) algorithm has problems of instability and repetition of keypoints and it does not possess scale invariance. In order to deal with these drawbacks, a modified ORB... The traditional oriented FAST and rotated BRIEF(ORB) algorithm has problems of instability and repetition of keypoints and it does not possess scale invariance. In order to deal with these drawbacks, a modified ORB(MORB) algorithm is proposed. In order to improve the precision of matching and tracking, this paper puts forward an MOK algorithm that fuses MORB and Kanade-Lucas-Tomasi(KLT). By using Kalman, the object's state in the next frame is predicted in order to reduce the size of search window and improve the real-time performance of object tracking. The experimental results show that the MOK algorithm can accurately track objects with deformation or with background clutters, exhibiting higher robustness and accuracy on diverse datasets. Also, the MOK algorithm has a good real-time performance with the average frame rate reaching 90.8 fps. 展开更多
关键词 Kalman prediction oriented fast and rotated BRIEF(ORB) match deformation real-time tracking
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Nanjing on the Fast Track
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作者 熊英 《中国会展》 2008年第1期78-79,共2页
Boasting top-notch infrastructure and dynamic economic growth,Nanjing is pushing towards an exhibition limelight in the Yangtze River Delta.
关键词 Nanjing on the fast Track
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Research on improved active disturbance rejection control of continuous rotary motor electro-hydraulic servo system 被引量:6
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作者 WANG Xiao-jing FENG Ya-ming SUN Yu-wei 《Journal of Central South University》 SCIE EI CAS CSCD 2020年第12期3733-3743,共11页
In order to meet the precision requirements and tracking performance of the continuous rotary motor electro-hydraulic servo system under unknown strong non-linear and uncertain strong disturbance factors,such as dynam... In order to meet the precision requirements and tracking performance of the continuous rotary motor electro-hydraulic servo system under unknown strong non-linear and uncertain strong disturbance factors,such as dynamic uncertainty and parameter perturbation,an improved active disturbance rejection control(ADRC)strategy was proposed.The state space model of the fifth order closed-loop system was established based on the principle of valve-controlled hydraulic motor.Then the three parts of ADRC were improved by parameter perturbation and external disturbance;the fast tracking differentiator was introduced into linear and non-linear combinations;the nonlinear state error feedback was proposed using synovial control;the extended state observer was determined by nonlinear compensation.In addition,the grey wolf algorithm was used to set the parameters of the three parts.The simulation and experimental results show that the improved ADRC can realize the system frequency 12 Hz when the tracking accuracy and response speed meet the requirements of double ten indexes,which lay foundation for the motor application. 展开更多
关键词 continuous rotary electro-hydraulic servo motor active disturbance rejection control(ADRC) fast tracking differentiator(TD) non-linear state error feedback(NLSEF) extended state observer(ESO) grey wolf algorithm
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Evidence or eminence in abdominal surgery: Recent improvements in perioperative care 被引量:7
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作者 Josefin Segelman Jonas Nygren 《World Journal of Gastroenterology》 SCIE CAS 2014年第44期16615-16619,共5页
Repeated surveys from Europe, the United States, Australia, and New Zealand have shown that adherence to an evidence-based perioperative care protocol, such as Enhanced Recovery After Surgery(ERAS), has been generally... Repeated surveys from Europe, the United States, Australia, and New Zealand have shown that adherence to an evidence-based perioperative care protocol, such as Enhanced Recovery After Surgery(ERAS), has been generally low. It is of great importance to support the implementation of the ERAS protocol as it has been shown to improve outcomes after a number of surgical procedures, including major abdominal surgery. However, despite an increasing awareness of the importance of structured perioperative management, the implementation of this complex protocol has been slow. Barriers to implementation involve both patient- and staff-related factors as well as practice-related issues and resources. To support efficient and successful implementation, further educational and structural measures have to be made on a national or regional level to improve the standard of general health care. Besides postoperative morbidity, biological and physiological variables have been quite commonly reported in previous ERAS studies. Little information, however, has been obtained on cost-effectiveness, long-term outcomes, quality of life and patient-related outcomes, and these issues remain important areas of research for future studies. 展开更多
关键词 Enhanced recovery SURGERY fast track Perioperative management Postoperative outcome
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优化有限元建模方法探讨
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作者 董旭静 蒙昌松 雷雪华 《广船科技》 2021年第1期39-41,共3页
有限元分析是船体详细设计中重要的一个组成部分,按HCSR及各船级社的规范要求往往需要全船有限元分析,而建模工作占有限元分析大部分时间,因此本文通过分析各软件的特点,联合应用CATIA及FAST TRACK软件,优化有限元建模方法,经过实船验... 有限元分析是船体详细设计中重要的一个组成部分,按HCSR及各船级社的规范要求往往需要全船有限元分析,而建模工作占有限元分析大部分时间,因此本文通过分析各软件的特点,联合应用CATIA及FAST TRACK软件,优化有限元建模方法,经过实船验证该方法可行,也极大的提高了建模效率。 展开更多
关键词 有限元 建模 CATIA fast TRACK
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Day surgery in strabismus operation under general anesthesia
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作者 Qi Fu Ling-Bo He +1 位作者 Xue-Ru Yang Jing Lin 《Annals of Eye Science》 2018年第1期382-386,共5页
Background:The purpose of this study is to summarize the application of day surgery combined with fast track program in strabismus operation under general anesthesia.Methods:The clinical data of 2,000 cases of strabis... Background:The purpose of this study is to summarize the application of day surgery combined with fast track program in strabismus operation under general anesthesia.Methods:The clinical data of 2,000 cases of strabismus patients who had underwent surgery in day surgery or traditional hospitalization in the duration from 2015 to 2016 was retrospectively analyzed.The safety and efficacy were assessed by comparing the average length of stay in hospitals,anesthesia recovery time,patient satisfaction and number of adverse events.Results:Compared with the traditional group,the average length of stay in hospital and recovery time in day surgery group were significantly lower(P<0.001)and the satisfaction of patient was improved(P<0.05),which were statistically significant difference.Moreover,no adverse events occurred among these patients.Conclusions:The application of day surgery in strabismus operation under general anesthesia is feasible,which can reduce the recovery time and shorten the hospital stay of patients safely and effectively,and their satisfaction was improved at the same time. 展开更多
关键词 Day surgery general anesthesia fast track surgery NURSING
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Fast track surgery accelerates the recovery of postoperative insulin sensitivity 被引量:12
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作者 YANG Dong-jie ZHANG Sheng HE Wei-ling CHEN Hua-yun CAI Shi-rong CHEN Chuang-qi SONG Xin-ming CUI Ji MAJin-pingI ZHANG Chang-hua HE Yu-long 《Chinese Medical Journal》 SCIE CAS CSCD 2012年第18期3261-3265,共5页
Background Few clinical studies or randomized clinical trial results have reported the impact of fast track surgery on postoperative insulin sensitivity. This study aimed to investigate the effects of fast track surge... Background Few clinical studies or randomized clinical trial results have reported the impact of fast track surgery on postoperative insulin sensitivity. This study aimed to investigate the effects of fast track surgery on postoperative insulin sensitivity in patients undergoing elective open colorectal resection. Methods Controlled, randomized clinical trial was conducted from November 2008 to January 2009 with one-month post-discharge follow-up. Seventy patients with colorectal carcinoma requiring colorectal resection were randomized into two groups: a fast track group (35 cases) and a conventional care group (35 cases). All included patients received elective open colorectal resection with combined tracheal intubation and general anesthesia. Clinical parameters (complication rates, return of gastrointestinal function and postoperative length of stay), stress index and insulin sensitivity were evaluated in both groups perioperatively. Results Sixty-two patients finally completed the study, 32 cases in the fast-track group and 30 cases in the conventional care group. Our findings revealed a significantly faster recovery of postoperative insulin sensitivity on postoperative day 7 in the fast-track group than that in the conventional care group. We also found a significantly shorter length of postoperative stay and a significantly faster return of gastrointestinal function in patients undergoing fast-track rehabilitation. Conclusion Fast track surgery accelerates the recovery of postoperative insulin sensitivity in elective surgery for colorectal carcinoma with a shorter length of postoperative hospital stay. 展开更多
关键词 fast track surgery colorectal carcinoma insulin sensitivity clinical trial
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“Fast Track”nasogastric decompression of rectal cancer surgery
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作者 Ka Li Zongguang Zhou +2 位作者 Zengrong Chen Yi Zhang Cun Wang 《Frontiers of Medicine》 SCIE CSCD 2011年第3期306-309,共4页
This study evaluates the application of fast track(FT)nasogastric decompression in patients who underwent anterior resection of rectal cancer.A randomized control trial was performed comparing the group with the fast ... This study evaluates the application of fast track(FT)nasogastric decompression in patients who underwent anterior resection of rectal cancer.A randomized control trial was performed comparing the group with the fast track treatment(n=57)and the group with traditional nasogastric decompression(n=84).Preoperative characteristics and postoperative recovery indices were recorded and analyzed.The results indicate no significant differences in gender(P=0.614),age(P=0.653),tumor location(P=0.113),and TNM stages(P=0.054)were observed between the 2 groups.The differences in the type of resection,anastomosis,and adoption of protective colostomy were all not significant between the FT and the traditional group.During the first 24 hours after surgery,the volume of nasogastric drainage averaged 197 ml in the FT group and 155 ml in the traditional group(P=0.197).The initiation of test-meal(P=0.000),semiliquid diet(P=0.002),and ordinary diet(P=0.008)were all significantly shorter in the FT group.Furthermore,compared with the other group,the patients in the FT group enjoyed earlier removal of the abdominal drainage,urinary catheter,and shorter hospital stays(P=0.000).Based on a correlation test,the duration of nasogastric decompression is related to the time of test-meal and semiliquid diet.The routine usage of nasogastric decompression in rectal surgery is unnecessary.The fast track procedure might help in facilitating postoperative functional and diet recovery,reducing the time of catheterization,and shortening hospital stay. 展开更多
关键词 fast track nasogastric decompression rectal cancer SURGERY
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Fast track system optimization of emergency departments:Insights from a computer simulation study
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作者 Babak Shirazi 《International Journal of Modeling, Simulation, and Scientific Computing》 EI 2016年第3期107-135,共29页
Healthcare systems engineering in emergency departments(EDs)are developing rapidly in the world nowadays.Fast track(FT)as a rapid treatment system is considered to facilitate ED patient flow.To know how FT can improve... Healthcare systems engineering in emergency departments(EDs)are developing rapidly in the world nowadays.Fast track(FT)as a rapid treatment system is considered to facilitate ED patient flow.To know how FT can improve the performance of ED,one should study the best configuration of resources for implementation of FT.This research presents a pattern for implementation of FT systems in hospital EDs using healthcare simulation paradigms.Simulation-based optimization model uses modeling and simulation capabilities to generate configurations of FT resources and its patient prioritization pattern with Arena rsimulation software.A decision making method is used to select the optimal configuration based on pre-specified performance indicators.The results imply that the proposed FT implementation pattern is efficient and capable of improving patient flow. 展开更多
关键词 Healthcare engineering fast track system emergency department simulationbased optimization.
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Fast Track to Study Abroad
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作者 WANG HAIRONG 《Beijing Review》 2010年第36期18-19,共2页
Young Chinese students get ready for their overseas education at international high schools As the summer heat subsides,students are about to go back to school.Yang Guang,a tall and slender 16-yearold boy with a sunny... Young Chinese students get ready for their overseas education at international high schools As the summer heat subsides,students are about to go back to school.Yang Guang,a tall and slender 16-yearold boy with a sunny smile,made an increasingly common decision. Rather than going to a first-rate public high school that prepares students for Chinese universities, Yang enrolled in a private international high school in Beijing,which is dedicated to preparing students to go to overseas universities. 展开更多
关键词 fast Track to Study Abroad SCHOOL
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Liver resection for hepatocellular carcinoma within a fast-track management: a propensity-score matched analysis between open and laparoscopic approach
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作者 Francesca Ratti Federica Cipriani +4 位作者 Raffaella Reineke Marco Catena Michele Paganelli Luigi Beretta Luca Aldrighetti 《Hepatoma Research》 2016年第1期271-278,共8页
Aim:The study was designed to assess the implications of enhanced recovery after surgery(ERAS)approach in patients submitted to open liver resection for hepatocellular carcinoma(HCC)comparing their short term outcome ... Aim:The study was designed to assess the implications of enhanced recovery after surgery(ERAS)approach in patients submitted to open liver resection for hepatocellular carcinoma(HCC)comparing their short term outcome with patients treated by laparoscopic approach,in a case-matched design.Methods:The open-group(n=60)was matched in a ratio of 1:1 with patients undergoing laparoscopic liver resection for HCC(Lap-group,n=60),with a matching achieved on a basis of propensity scores including 6 covariates representing patients characteristics and severity of the disease.Primary outcome analysis was performed in terms of ERAS-specific items and postoperative morbidity and mortality.Results:Overall morbidity and mortality were comparable between groups.Incidence of ascites was slightly higher in the open-compared with the Lap-group(respectively 11.7%and 13.3%),without statistical significance.The need for introduction or increase of chronic diuretic therapy was significantly higher in the open-compared with the Lap-group(16.7%vs.11.7%,P=0.046).Furthermore,ascites more frequently required percutaneous drainage in the open-compared with the Lap-group(5%vs.1.7%respectively,P=0.041).Conclusion:In patients who can’t benefit from minimally-invasive approach because of disease characteristics,ERAS management seems to be associated with an improved postoperative functional recovery and postoperative outcomes,comparable to those of the minimally invasive approach. 展开更多
关键词 Hepatocellular carcinoma fast track LAPAROSCOPY liver surgery enhanced recovery after surgery liver failure
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Still on the Fast Track
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作者 FENG JIANHUA 《Beijing Review》 2009年第20期22-23,共2页
North China’s Inner Mongolia Autonomous Region’s development is progressing comparatively fast,though there is still a long way to go until it catches up with advances being made in other parts of China, officials s... North China’s Inner Mongolia Autonomous Region’s development is progressing comparatively fast,though there is still a long way to go until it catches up with advances being made in other parts of China, officials said. 展开更多
关键词 Still on the fast Track
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Getting Back on the Fast Track
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《Beijing Review》 2009年第46期35-35,共1页
More than one year after the financial crisis swept the globe, the economy of developing East Asia is starting to see renewed growth. The path toward full recovery is still littered with risks, but the crisis seems to... More than one year after the financial crisis swept the globe, the economy of developing East Asia is starting to see renewed growth. The path toward full recovery is still littered with risks, but the crisis seems to have offered a catalyst for the region to rebalance its export- driven model and seek healthier growth. Ivailo Izvorski and llero, senior economists of the World Bank East Asia and Pacific Region, discussed these issues in the latest East Asia and Pacific Update, a regular assessment of the regional economy. Edited excerpts follow: 展开更多
关键词 Getting Back on the fast Track
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