Int J Comput Assist Radiol Surg - Analysis of surgical intervention populations using generic surgical process models.

Tópicos

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Resumo

RPOSE: According to differences in patient characteristics, surgical performance, or used surgical technological resources, surgical interventions have high variability. No methods for the generation and comparison of statistical 'mean' surgical procedures are available. The convenience of these models is to provide increased evidence for clinical, technical, and administrative decision-making.METHODS: Based on several measurements of patient individual surgical treatments, we present a method of how to calculate a statistical 'mean' intervention model, called generic Surgical Process Model (gSPM), from a number of interventions. In a proof-of-concept study, we show how statistical 'mean' procedure courses can be computed and how differences between several of these models can be quantified. Patient individual surgical treatments of 102 cataract interventions from eye surgery were allocated to an ambulatory or inpatient sample, and the gSPMs for each of the samples were computed. Both treatment strategies are exemplary compared for the interventional phase Capsulorhexis.RESULTS: Statistical differences between the gSPMs of ambulatory and inpatient procedures of performance times for surgical activities and activity sequences were identified. Furthermore, the work flow that corresponds to the general recommended clinical treatment was recovered out of the individual Surgical Process Models.CONCLUSION: The computation of gSPMs is a new approach in medical engineering and medical informatics. It supports increased evidence, e.g. for the application of alternative surgical strategies, investments for surgical technology, optimization protocols, or surgical education. Furthermore, this may be applicable in more technical research fields, as well, such as the development of surgical workflow management systems for the operating room of the future.

Resumo Limpo

rpose accord differ patient characterist surgic perform use surgic technolog resourc surgic intervent high variabl method generat comparison statist mean surgic procedur avail conveni model provid increas evid clinic technic administr decisionmakingmethod base sever measur patient individu surgic treatment present method calcul statist mean intervent model call generic surgic process model gspm number intervent proofofconcept studi show statist mean procedur cours can comput differ sever model can quantifi patient individu surgic treatment cataract intervent eye surgeri alloc ambulatori inpati sampl gspms sampl comput treatment strategi exemplari compar intervent phase capsulorhexisresult statist differ gspms ambulatori inpati procedur perform time surgic activ activ sequenc identifi furthermor work flow correspond general recommend clinic treatment recov individu surgic process modelsconclus comput gspms new approach medic engin medic informat support increas evid eg applic altern surgic strategi invest surgic technolog optim protocol surgic educ furthermor may applic technic research field well develop surgic workflow manag system oper room futur

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