Outpatient versus inpatient superficial parotidectomy: clinical and pathological characteristics.
Academic Medical Centers
Adolescent
Adult
Aged
Aged, 80 and over
Ambulatory Surgical Procedures
Feasibility Studies
Female
Humans
Inpatients
Male
Middle Aged
Ontario
Otorhinolaryngologic Surgical Procedures
/ methods
Outpatients
Parotid Diseases
/ surgery
Parotid Gland
/ surgery
Patient Readmission
/ statistics & numerical data
Postoperative Complications
/ epidemiology
Retrospective Studies
Ambulatory surgery
Outpatient surgery
Parotidectomy
Journal
Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
ISSN: 1916-0216
Titre abrégé: J Otolaryngol Head Neck Surg
Pays: England
ID NLM: 101479544
Informations de publication
Date de publication:
12 Feb 2021
12 Feb 2021
Historique:
received:
19
02
2020
accepted:
21
12
2020
entrez:
13
2
2021
pubmed:
14
2
2021
medline:
25
2
2023
Statut:
epublish
Résumé
Superficial parotidectomy has a potential to be performed as an outpatient procedure. The objective of the study is to evaluate the safety and selection profile of outpatient superficial parotidectomy compared to inpatient parotidectomy. A retrospective review of individuals who underwent superficial parotidectomy between 2006 and 2016 at a tertiary care center was conducted. Primary outcomes included surgical complications, including transient/permanent facial nerve palsy, wound infection, hematoma, seroma, and fistula formation, as well as medical complications in the postoperative period. Secondary outcome measures included unplanned emergency room visits and readmissions within 30 days of operation due to postoperative complications. There were 238 patients included (124 in outpatient and 114 in inpatient group). There was no significant difference between the groups in terms of gender, co-morbidities, tumor pathology or tumor size. There was a trend towards longer distance to the hospital from home address (111 Km in inpatient vs. 27 in outpatient, mean difference 83 km [95% CI,- 1 to 162 km], p = 0.053). The overall complication rates were comparable between the groups (24.2% in outpatient group vs. 21.1% in inpatient, p = 0.56). There was no difference in the rate of return to the emergency department (3.5% vs 5.6%, p = 0.433) or readmission within 30 days (0.9% vs 0.8%, p = 0.952). Superficial parotidectomy can be performed safely as an outpatient procedure without elevated risk of complications.
Sections du résumé
BACKGROUND
BACKGROUND
Superficial parotidectomy has a potential to be performed as an outpatient procedure. The objective of the study is to evaluate the safety and selection profile of outpatient superficial parotidectomy compared to inpatient parotidectomy.
METHODS
METHODS
A retrospective review of individuals who underwent superficial parotidectomy between 2006 and 2016 at a tertiary care center was conducted. Primary outcomes included surgical complications, including transient/permanent facial nerve palsy, wound infection, hematoma, seroma, and fistula formation, as well as medical complications in the postoperative period. Secondary outcome measures included unplanned emergency room visits and readmissions within 30 days of operation due to postoperative complications.
RESULTS
RESULTS
There were 238 patients included (124 in outpatient and 114 in inpatient group). There was no significant difference between the groups in terms of gender, co-morbidities, tumor pathology or tumor size. There was a trend towards longer distance to the hospital from home address (111 Km in inpatient vs. 27 in outpatient, mean difference 83 km [95% CI,- 1 to 162 km], p = 0.053). The overall complication rates were comparable between the groups (24.2% in outpatient group vs. 21.1% in inpatient, p = 0.56). There was no difference in the rate of return to the emergency department (3.5% vs 5.6%, p = 0.433) or readmission within 30 days (0.9% vs 0.8%, p = 0.952).
CONCLUSION
CONCLUSIONS
Superficial parotidectomy can be performed safely as an outpatient procedure without elevated risk of complications.
Identifiants
pubmed: 33579392
doi: 10.1186/s40463-020-00484-9
pii: 10.1186/s40463-020-00484-9
pmc: PMC7881444
doi:
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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