Clinical pathway for abbreviated postoperative hospital stay in free tissue transfer to the head and neck: Impact in resource utilization and surgical outcomes.

Moreno, MA ; Bonilla-Velez, J

In: Head & neck, Jg. 41 (2019-04-01), Heft 4, S. 982-992

Online academicJournal

Zugriff:

Full Text Finder (Volltext)

Background: Assess the impact of a clinical pathway and progressive care unit (CPW/PCU) for patients undergoing head and neck free flap reconstruction with regard to patient outcomes and resource utilization.

Methods: Retrospective chart review of 270 patients at an academic tertiary-care center (2009-2014). Outcomes were compared among a control, CPW/PCU transition, and CPW/PCU groups.

Results: Compared to control, the CPW/PCU group had significantly reduced medical complications (21.1%-4.1%), intensive care unit length of stay (LOS, 5.02-0.2 days), hospital LOS (10.5-6.2 days), standardized total charges ($88 270-$58 661), and hospital costs ($41 365-$22 680). There were no observed differences in flap viability, surgical complications, reoperations, or readmissions. The CPW/PCU group achieved 100% home discharge.

Conclusions: Our proposed CPW significantly improved patient outcomes and reduced resource utilization while maintaining flap outcomes. We propose a dynamic model for resource allocation that is easily reproducible in both academic and nonacademic settings.

Titel:	Clinical pathway for abbreviated postoperative hospital stay in free tissue transfer to the head and neck: Impact in resource utilization and surgical outcomes.
Autor/in / Beteiligte Person:	Moreno, MA ; Bonilla-Velez, J
Link:	Full Text Finder (Volltext)
Zeitschrift:	Head & neck, Jg. 41 (2019-04-01), Heft 4, S. 982-992
Veröffentlichung:	New York, NY : John Wiley And Sons ; <i>Original Publication</i>: New York, NY : J. Wiley, c1989-, 2019
Medientyp:	academicJournal
ISSN:	1097-0347 (electronic)
DOI:	10.1002/hed.25525
Schlagwort:	Academic Medical Centers Aged Analysis of Variance Cohort Studies Databases, Factual Female Free Tissue Flaps blood supply Graft Rejection Graft Survival Head and Neck Neoplasms mortality Head and Neck Neoplasms pathology Hospital Costs Humans Male Middle Aged Neck Dissection methods Postoperative Care methods Postoperative Complications physiopathology Postoperative Complications therapy Prognosis Quality of Life Retrospective Studies Treatment Outcome United States Critical Pathways Free Tissue Flaps transplantation Head and Neck Neoplasms surgery Health Resources statistics & numerical data Length of Stay economics Plastic Surgery Procedures methods
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't Language: English [Head Neck] 2019 Apr; Vol. 41 (4), pp. 982-992. <i>Date of Electronic Publication: </i>2019 Jan 16. MeSH Terms: Critical Pathways* ; Free Tissue Flaps / transplantation ; Head and Neck Neoplasms / surgery ; Health Resources / statistics & numerical data ; Length of Stay / economics ; Plastic Surgery Procedures / *methods ; Academic Medical Centers ; Aged ; Analysis of Variance ; Cohort Studies ; Databases, Factual ; Female ; Free Tissue Flaps / blood supply ; Graft Rejection ; Graft Survival ; Head and Neck Neoplasms / mortality ; Head and Neck Neoplasms / pathology ; Hospital Costs ; Humans ; Male ; Middle Aged ; Neck Dissection / methods ; Postoperative Care / methods ; Postoperative Complications / physiopathology ; Postoperative Complications / therapy ; Prognosis ; Quality of Life ; Retrospective Studies ; Treatment Outcome ; United States Contributed Indexing: Keywords: clinical pathways. (MeSH-NLM); free flaps; head and neck reconstruction; microvascular; outcomes; progressive care unit Entry Date(s): Date Created: 20190118 Date Completed: 20201009 Latest Revision: 20221207 Update Code: 20231215

Klicken Sie ein Format an und speichern Sie dann die Daten oder geben Sie eine Empfänger-Adresse ein und lassen Sie sich per Email zusenden.

BibTeX Citavi, JabRef, u.a.
(Literaturverwaltung)

PDF kein Volltext!
(Merkzettel, Notizen)

RIS Endnote, Citavi u.a.
(Literaturverwaltung)

MODS
(XML zur Weiterverarbeitung)

oder

Wählen Sie das für Sie passende Zitationsformat und kopieren Sie es dann in die Zwischenablage, lassen es sich per Mail zusenden oder speichern es als PDF-Datei.

Gewünschter Zitations-Stil:

oder

Bitte prüfen Sie, ob die Zitation formal korrekt ist, bevor Sie sie in einer Arbeit verwenden. Benutzen Sie gegebenenfalls den "Exportieren"-Dialog, wenn Sie ein Literaturverwaltungsprogramm verwenden und die Zitat-Angaben selbst formatieren wollen.