头癌手术后的排泄位置是否会影响结果的质量?
Cristina Benites1, Colyn White2, Logesvar Balaguru1
1Department of Otolaryngology, University of Florida, Gainesville, FL, USA.
Oral oncology
|February 12, 2026
概括
在头癌手术后的出院目的地没有显著影响再入院或死亡率. 然而,被送往医院的患者感染率和伤口并发症率较高.
科学领域:
- 在瘤学瘤学.
- 外科手术的结果
- 医疗保健管理的管理
背景情况:
- 在头癌 (HNC) 手术后,往往会出院到急性后护理设施.
- 研究表明,排放位置会影响临床结果,但对HNC的具体证据有限.
研究的目的:
- 评估出院目的地 (家庭与设施) 对HNC手术后患者结果的影响.
主要方法:
- 对1895名HNC手术患者 (2014-2023) 的回顾性队列研究.
- 主要结局:30天再入院,30天死亡率和术后并发症的严重程度.
- 以共同变量进行调整,包括日常生活依赖,气管切除,手术严重程度和住院时间等活动.
主要成果:
- 82%的患者在家出院,18%的患者在医疗机构住院. 多变量分析显示,根据放出地点,再接收或死亡率没有显著差异.
- 被送往医疗机构的患者感染率和伤口枯率较高 (p < 0.05).
- 诸如依赖,气管切除,手术严重程度和长时间住院等因素是不良结果的重要预测因素.
结论:
- 在多变量分析中,对设施的排放与更糟糕的整体结果没有显著相关.
- 观察到并发症率和再入院率的临床相关差异.
- 由于感染和伤口并发症风险增加,设施排放需要注意.
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