Head & neck · 2018
Factors associated with complications in total laryngectomy without microvascular reconstruction.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Helman Samuel N, Brant Jason A, Kadakia Sameep K, Newman Jason G, Cannady Steven B, Chai Raymond L
Аннотация
BACKGROUND: There is little population-level data evaluating risk factors for postoperative complications after total laryngectomy.
METHODS: We conducted a retrospective review of the American College of Surgeons National Quality Improvement Program identifying patients who underwent total laryngectomy as a primary procedure from 2005 to 2014. Multivariate analysis was performed to identify variables that were independently associated with overall and major complications.
RESULTS: Eight hundred seventy-one cases met inclusion criteria. Three hundred twenty-eight patients (37.7%) had complications, with operative time (hours; P < .0001), class III (P < .001) wound status, and patient age (decade; P = .003) associated with overall complications. Two hundred one patients had major complications that were associated with steroid use (P = .01) and class III (P = .0083) wound classification. Preoperative hematocrit was correlated with a reduction of all and major complications on multivariate analysis (P < .0001 and P = .036).
CONCLUSION: Identifying and optimizing risk factors may improve outcomes in total laryngectomy.
METHODS: We conducted a retrospective review of the American College of Surgeons National Quality Improvement Program identifying patients who underwent total laryngectomy as a primary procedure from 2005 to 2014. Multivariate analysis was performed to identify variables that were independently associated with overall and major complications.
RESULTS: Eight hundred seventy-one cases met inclusion criteria. Three hundred twenty-eight patients (37.7%) had complications, with operative time (hours; P < .0001), class III (P < .001) wound status, and patient age (decade; P = .003) associated with overall complications. Two hundred one patients had major complications that were associated with steroid use (P = .01) and class III (P = .0083) wound classification. Preoperative hematocrit was correlated with a reduction of all and major complications on multivariate analysis (P < .0001 and P = .036).
CONCLUSION: Identifying and optimizing risk factors may improve outcomes in total laryngectomy.
Предметные рубрики MeSH
AdultAge FactorsAgedBlood Loss, SurgicalDatabases, FactualFemaleFree Tissue FlapsHumansLaryngeal NeoplasmsLaryngectomyLength of StayMaleMiddle AgedOperative TimePatient ReadmissionPostoperative ComplicationsPrognosisPlastic Surgery ProceduresRetrospective StudiesRisk AssessmentSteroidsTreatment OutcomeUnited States