Study of the length of hospital stay for free flap reconstruction of oral and pharyngeal cancer in the context of the new French casemix-based funding

Hospital stay following complex major head and neck resection: what factors play a role?

“…Previous radiotherapy and recurrent disease, although thought to prolong surgery and increase postoperative adverse events such as delayed healing, have not been shown to be significant predictive variables . Age was not a predictor of LOS in the current study and in other papers . In contrast, BuSaba and Schaumberg in a large study report age as a key preoperative patient characteristic affecting LOS.…”

Tracheostomy and infection prolong length of stay in hospital after surgery for head and neck cancer: a population based study

“…15,16 LOS in Ireland was similar to that observed in 2 specialist center studies from France. 17,18 Relative to the United States, longer LOS in Ireland may reflect U.S. insurers exercising greater control of LOS than was the case in public hospitals in Ireland. The fact that the private care patients in our dataset had significantly shorter LOS compared with public care patients supports this explanation, as do the studies from France, a country with a wholly public health system.…”

“…29 Other factors predictive of longer LOS We found that patients with more advanced stage tended to experience greater LOS, similar to the findings of a French study, where cases with locoregional tumor spread had longer LOS compared with less advanced cases. 18 Patients with less differentiated tumors, greater comorbidity, more extensive surgery, reconstruction, and transfusion and who required gastrostomy all tended to experience greater LOS. We found that cases with neoadjuvant radiotherapy had prolonged LOS relative to cases without and that neoadjuvant radiotherapy was associated with greater incidence of infection (neoadjuvant radiotherapy 30%, with neoadjuvant chemoradiation 19% versus 13% without).…”

Predictors of Prolonged Hospital Stay in Cardiac Surgery

“…In this study, categorical variables was analysed using chi-square test. The study conducted by Girod et al (2010) for improvement of the length of hospital stay 20T for free flap reconstructions of the oral cavity patients was analysed using Analysis of variance F. The difference in quality of life for two groups of gender was analysed using Mann Whitney test (Vladan et al, 2010). The study found that sex structure is the factors that affected the quality of life after CABG surgery.…”