PMID- 33931131
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20210721
IS  - 2057-4967 (Electronic)
IS  - 2095-9370 (Print)
IS  - 2057-4967 (Linking)
VI  - 7
IP  - 1
DP  - 2021 May 1
TI  - Quality improvement of nursing on patients with complex cerebral arteriovenous 
      malformation undergoing hybrid surgery: a prospective single-center study.
PG  - 23
LID - 10.1186/s41016-021-00240-6 [doi]
LID - 23
AB  - BACKGROUND: We sought to explore an optimal clinical nursing mode following a 
      hybrid surgery for cerebral arteriovenous malformation. METHODS: Patients with 
      complex cerebral arteriovenous malformations seen in our neurosurgery department 
      from January 2016 to December 2017 were prospectively enrolled. The hybrid 
      surgery protocol included "angiographic diagnosis, surgical resection, and 
      intraoperative angiographic evaluation" and "angiographic diagnosis and 
      embolization, surgical resection, and intraoperative angiographic evaluation". 
      The patients were randomly stratified into intensive care group and routine care 
      group. After surgery, intensive or routine care was provided, and the prognosis 
      of patients was evaluated, with a subsequent comparative analysis. RESULTS: A 
      total of 109 cases were divided into the routine nursing group (n = 54 cases) and 
      intensive nursing group (n = 55 cases). There were no significant differences 
      between the two groups in baseline data before surgery. Postoperative lung 
      infection in the intensive nursing group was significantly less frequent than 
      those in the routine nursing group (5.5% vs. 18.5%, P=0.039) with pulmonary 
      infection and lower extremity venous thrombosis (5.5% vs. 24.1%, P=0.006). The 
      average hospital stay in the intensive nursing group was 14.4 +/- 5.78 days, which 
      was significantly lower than that in the routine nursing group (19.3 +/- 6.38 days, 
      P=0.013). At 3 months' follow-up after surgery, the Generic Quality of Life 
      Inventory-74 (GQOLI-74) dimension score and GQOLI-74 total score in the enhanced 
      group were significantly better than those in the routine nursing group (P=0.017 
      and 0.023, respectively). CONCLUSIONS: Intensive postoperative nursing can 
      improve the safety of patients after hybrid surgery, reduce the postoperative 
      complications and the average length of hospital stay, and improve the quality of 
      life of patients.
FAU - Zhao, Dong-Hong
AU  - Zhao DH
AD  - Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, 
      Beijing, 100079, People's Republic of China.
AD  - China National Clinical Research Center for Neurological Diseases, Beijing, 
      People's Republic of China.
AD  - Center of Stroke, Beijing Institute for Brain Disorders, Beijing, People's 
      Republic of China.
AD  - Beijing Key Laboratory of Translational Medicine for Cerebrovascular Disease, 
      Beijing, People's Republic of China.
FAU - Xue, Rui
AU  - Xue R
AD  - Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, 
      Beijing, 100079, People's Republic of China. 1974896894@qq.com.
FAU - Sun, Xiao-Rong
AU  - Sun XR
AD  - Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, 
      Beijing, 100079, People's Republic of China.
LA  - eng
GR  - 81371292/the Program of the National Natural Science Foundation of China/
GR  - 2015BAI12B04/National Key Clinical Specialty Discipline Construction Program of 
      China (CN)/
PT  - Journal Article
DEP - 20210501
PL  - England
TA  - Chin Neurosurg J
JT  - Chinese neurosurgical journal
JID - 101672561
PMC - PMC8088033
OTO - NOTNLM
OT  - Arteriovenous malformation
OT  - Hybrid surgery
OT  - Intensive nursing
COIS- The authors declare that they have no competing interests.
EDAT- 2021/05/02 06:00
MHDA- 2021/05/02 06:01
PMCR- 2021/05/01
CRDT- 2021/05/01 05:45
PHST- 2020/05/26 00:00 [received]
PHST- 2021/03/17 00:00 [accepted]
PHST- 2021/05/01 05:45 [entrez]
PHST- 2021/05/02 06:00 [pubmed]
PHST- 2021/05/02 06:01 [medline]
PHST- 2021/05/01 00:00 [pmc-release]
AID - 10.1186/s41016-021-00240-6 [pii]
AID - 240 [pii]
AID - 10.1186/s41016-021-00240-6 [doi]
PST - epublish
SO  - Chin Neurosurg J. 2021 May 1;7(1):23. doi: 10.1186/s41016-021-00240-6.