Helmus C, Grin M, Westfall R
Butterworth Hospital, Grand Rapids, Mich. 49503.
Laryngoscope. 1992 Dec;102(12 Pt 1):1331-4. doi: 10.1288/00005537-199212000-00003.
The purpose of this study was to determine if selective head and neck surgical procedures on a same-day basis are justifiable. Two hundred consecutive head and neck same-day procedures were reviewed, including 84 parotidectomies and 116 other procedures previously managed as inpatients. Of the 200 patients, 36 (18%) were admitted, 33 for overnight observation, and 164 (82%) were discharged the same day. There were no complications reported in the discharged patients and a later questionnaire showed that 97% of the patients were satisfied. The advantages of selective same-day procedures outweigh the disadvantages for otolaryngologist and patient. The study shows that same-day-stay head and neck surgery for selective procedures is safe, reasonable, and cost-effective, but the combined efforts of the otolaryngologists, nurses, and administrators are required. Because of rising healthcare costs, experts are predicting a significant increase in the next few years of outpatient surgery, including surgery of the head and neck.
本研究的目的是确定同日进行的选择性头颈外科手术是否合理。回顾了连续200例同日进行的头颈手术，包括84例腮腺切除术和116例以前作为住院患者处理的其他手术。在这200例患者中，36例（18%）被收治，33例接受过夜观察，164例（82%）于同日出院。出院患者中未报告有并发症，后来的一份调查问卷显示97%的患者表示满意。对于耳鼻喉科医生和患者而言，选择性同日手术的优点超过缺点。该研究表明，选择性手术的同日留院头颈外科手术是安全、合理且具有成本效益的，但需要耳鼻喉科医生、护士和管理人员的共同努力。由于医疗保健成本不断上升，专家预测在未来几年门诊手术，包括头颈手术，将大幅增加。
