Predictors of Prolonged Length of Stay After Major Elective Head and Neck Surgery

Busaba, Nicolas Y.; Schaumberg, Debra A.

doi:10.1097/mlg.0b013e3180de4d85

Cited by 63 publications

(96 citation statements)

References 28 publications

(49 reference statements)

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“…LOS may be affected by patient factors such as older age, gender, comorbidities and socio-demographics (13,14), and intraoperative and postoperative adverse events and complications (14,15). Specifically, in breast surgery, there are only a few LOS studies and those that exist have studied trends of LOS for breast cancer surgery over several decades (16)(17)(18).…”

Section: Introductionmentioning

confidence: 99%

Factors Affecting the Postsurgical Length of Hospital Stay in Patients with Breast Cancer

et al. 2015

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Objective: Breast cancer is the most common malignancy and the most common cause of mortality in women worldwide. In addition to the increasing incidence of breast cancer, the length of hospital stay (LOS) after breast cancer surgery has been decreasing. Because LOS is key in determining hospital usage, the decrease in the use of hospital facilities may have implications on healthcare planning. The purpose of this study was to evaluate the factors affecting postoperative LOS in patients with breast cancer. Materials and Methods:Seventy-six in patients with breast cancer, who had been treated between July 2013 and December 2014 in the General Surgery Clinic of Dicle University, were included in the study. The demographic characteristics of the patients, treatment methods, histopathological features of the tumor, concomitant diseases, whether they underwent neoadjuvant chemotherapy or not, and the length of drain remaining time were retrospectively recorded.Results: There was a correlation between drain remaining time, totally removed lymph node, the number of metastatic lymph node, and LOS. LOS of patients treated with neoadjuvant chemotherapy was longer. The patients who underwent breast-conserving surgery had a shorter LOS. Linear regression analysis revealed that the drain remaining time and the number of metastatic lymph nodes were independent risk factors for LOS.

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Section: Introductionmentioning

confidence: 99%

Factors Affecting the Postsurgical Length of Hospital Stay in Patients with Breast Cancer

et al. 2015

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“…Zatrzymanie krążenia w przebiegu okołooperacyjnym ocenia się w piśmiennic-twie laryngologicznym na 0,6-1,8% [20,50], a w ogólnochirurgicznym na 2,1% [74]. W naszym materiale do zatrzymaniu krążenia doszło u 3 spośród 8 chorych z zawałem mię-śnia sercowego (0,3% wszystkich chorych).…”

Section: Według Wytycznych Committee On Perioperative Cardiovascular unclassified

“…W naszym materiale powikłanie to rozpoznaliśmy w 7 przypadkach (0,5%), w tym jeden był wynikiem zachłyśnięcia się kwaśną treścią żołądkową podczas indukcji znieczulenia. W piśmiennic-twie anglojęzycznym powikłanie to stwierdzano w 1,4-25% [5,7,17,20,40,50,51,54,64,77,87,125,156,158,183,204,218], podobnie w polskim: od 1,6% w materiale Gryczyńskiego i wsp., poprzez 3,1% u Szymańskiej-Skrzypczak i wsp. do 4,5% u Pajor i wsp.…”

Section: Powikłania Ze Strony Układu Oddechowegounclassified

“…W naszym materiale udar mózgu dotknął 0,4% chorych, w żadnym przypadku nie doprowadził do zgonu. W literaturze anglojęzycz-nej ryzyko wystąpienia udaru jako powikłania operacji w obrębie głowy i szyi oceniane jest na 0,2-4,8%, a ryzyko zgonu z tego powodu na 0,4% [2,7,20,29,34,85,98,142,156,170,208]. O udarze mózgu w polskim piśmiennictwie laryngologicznym pisali: Fałek i wsp., Bień i wsp.…”

Section: Powikłania Ze Strony Układu Nerwowegounclassified

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Powikłania ogólne operacji nowotworów złośliwych głowy i szyi

Sierszeń¹

2011

Otolaryngologia Polska

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“…This reality may affect the clinical progression or the survival of these patients. 9,10 The incidence of head and neck cancer is highest in the elderly population. These patients may require major surgery as one of the treatment options; if lung function is compromised, they are at a higher risk of developing severe pulmonary complications, which may entail longer hospital or intensive care unit (ICU) stays, more time intubated, use of wide spectrum antibiotics, and other measures.…”

Section: Introductionmentioning

confidence: 99%

Associação de doença pulmonar obstrutiva crônica (DPOC) e complicações em cirurgia de cabeça e pescoço

Volpe¹,

Fitipaldi²,

Silva³

et al. 2011

Braz. j. otorhinolaryngol. (Impr.)

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COPD presents in a variety of forms patients with head and neck cancer; it may affect therapeutic decision-making or postoperative outcomes due to its complications. Aim:To correlate the severity of COPD in patients with head and neck SCC treated with surgery, who present postoperative complications.Method: A retrospective analysis of 31 patients undergoing en bloc resections, from 2008 to 2009. All cases were evaluated and classified using the GOLD scale. The COPD grade, intubation period, ICU stay and hospital stay were studied. Results:The mean age was 64.8 years; COPD was mild in 24 cases, moderate in 6 and severe in 1 case. ICU stay was 2.7 days and the intubation period was 1,12 days. The mean hospital stay was 24.4 days. There was no relation between COPD grade and brochopneumonia, intubation period, ICU stay and hospital stay. Conclusion:Patients with head and neck SCC have a tendency to acquire COPD; its severity was not related with postoperative pulmonary complications, prolonged intubation period, ICU stay and hospital stay. Braz J Otorhinolaryngol. 2011;77(1):125-8. ORIGINAL ARTICLE

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Predictors of Prolonged Length of Stay After Major Elective Head and Neck Surgery

Abstract: Several intraoperative processes and postoperative adverse events contributed additional predictive information for prolonged LOS, after consideration of preoperative patient characteristics.

Cited by 63 publications

References 28 publications

Factors Affecting the Postsurgical Length of Hospital Stay in Patients with Breast Cancer

Factors Affecting the Postsurgical Length of Hospital Stay in Patients with Breast Cancer

Powikłania ogólne operacji nowotworów złośliwych głowy i szyi

Associação de doença pulmonar obstrutiva crônica (DPOC) e complicações em cirurgia de cabeça e pescoço

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