比较在专科降级护理病房与非专科重症监护病房进行游离皮瓣手术后的术后结果。
Comparing postoperative outcomes after free flap surgery in a specialty step-down unit vs nonspecialty intensive care unit.
作者信息
Yang Shiayin F, Adams William, Lazzara Gina E, Thorpe Eric J, Pittman Amy L
机构信息
Department of Otolaryngology-Head and Neck Surgery, Loyola University Medical Center, Maywood, Illinois.
Clinical Research Office Biostatistics Core, Loyola University Chicago Health Sciences Division, Loyola University Chicago, Maywood, Illinois.
出版信息
Head Neck. 2020 Apr;42(4):719-724. doi: 10.1002/hed.26038. Epub 2019 Dec 30.
BACKGROUND
To determine if there was a difference in postoperative outcomes of head and neck free flap reconstruction patients treated in a specialty step-down unit compared to a nonspecialty intensive care unit (ICU).
METHODS
A retrospective review was performed of all patients who underwent free flap reconstruction for head and neck defects from 2014 to 2017 at Loyola University Medical Center. Patients managed postoperatively in the ICU were compared to patients managed in a specialty step-down unit. Postoperative outcomes, length of stay, and readmission were compared.
RESULTS
Three hundred and five patients were included in the study. Patients managed postoperatively in the specialty step-down unit had comparable rates of postoperative complications and flap failure as ICU patients. Step-down patients had significantly shorter lengths of stay (Mdn = 5 days, IQR = 5-7 days) than patients in the ICU (Mdn = 6 days, IQR = 5-6 days; P < .001).
背景
确定在专科降级护理单元接受治疗的头颈部游离皮瓣重建患者与非专科重症监护病房（ICU）患者的术后结局是否存在差异。
方法
对2014年至2017年在洛约拉大学医学中心接受头颈部缺损游离皮瓣重建的所有患者进行回顾性研究。将在ICU接受术后管理的患者与在专科降级护理单元接受管理的患者进行比较。比较术后结局、住院时间和再入院情况。
结果
305例患者纳入研究。在专科降级护理单元接受术后管理的患者与ICU患者的术后并发症发生率和皮瓣失败率相当。降级护理单元的患者住院时间（中位数=5天，四分位间距=5 - 7天）显著短于ICU患者（中位数=6天，四分位间距=5 - 6天；P <.001）。
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