【摘要】 目的：分析骨科手术患者院前管理的相关数据，评估骨科术前评估门诊的建立对患者入院后非计划取消手术率、术前住院时间及总住院时间的影响。方法：选择2016年9月至2022年8月北京大学第三医院收治的骨科手术患者66 076例。根据骨科术前评估门诊建立时间2019年9月，分为术前评估门诊组35 894例和无术前评估门诊组30 182例。比较两组患者术前平均住院时间、平均总住院时间以及非计划取消手术率，评估骨科术前评估门诊对科室运行效率的影响。结果：在骨科院前管理评估系统干预下，术前评估门诊组患者术前住院时间短于无术前评估门诊组患者[1.0(1.0,2.0)d vs. 2.0(1.0,3.0)d,P<0.001]；总住院时间短于无术前评估门诊组患者[5.0(3.0,7.0)d vs. 6.0(4.0,8.0)d,P<0.001]；非计划取消手术率低于无术前评估门诊组患者（2.99%vs.7.26%,P<0.001）。结论：骨科术前评估门诊能有效降低患者入院后的非计划取消手术率、缩短术前住院时间及总住院时间，能在医疗资源及病房床位有限的情况下提高病房床位的流转率。更多还原

【Abstract】 Objective: To analyze pre-hospital management data of orthopaedic surgery patients and evaluate the impact of establishing a preoperative assessment outpatient clinic on the rate of unplanned surgery cancellations after admission, preoperative hospitalization duration, and total hospital stay. Methods: A total of 66, 076 orthopaedic surgical patients treated at Peking University Third Hospital from September 2016 to August 2022 were included. Based on the establishment of the preoperative assessment outpatient clinic in September 2019, patients were divided into two groups: the preoperative assessment outpatient clinic group(n=35,894) and the non-preoperative assessment outpatient clinic group(n=30,182). The two groups were compared in terms of average preoperative hospital stay, total hospital stay, and the rate of unplanned surgery cancellations to assess the clinic’s impact on departmental operational efficiency. Results: Under the intervention of the orthopaedic pre-hospital management assessment system,the preoperative hospital stay was significantly shorter in the preoperative assessment outpatient clinic group compared to the nonpreoperative assessment outpatient clinic group [1.0(1.0, 2.0) days vs. 2.0(1.0, 3.0) days, P<0.001]. The total hospital stay was also shorter in the preoperative assessment outpatient clinic group compared to the non-preoperative assessment outpatient group [5.0(3.0, 7.0)days vs. 6.0(4.0, 8.0) days, P<0.001]. Moreover, the rate of unplanned surgery cancellations was significantly lower in the preoperative assessment outpatient clinic group than that in the non-operative assessment outpatient clinic group(2.99% vs. 7.26%, P<0.001).Conclusions: The establishment of a preoperative assessment outpatient clinic in orthopaedics can effectively reduce the rate of unplanned surgery cancellations after admission and shorten both preoperative and total hospital stays. This model improves bed turnover efficiency under conditions of limited medical resources and inpatient capacity.更多还原