Kumar Sanjay, Dutta Debmita, Dutta Angshuman, Dwivedi Surjeet, Singh Roohie
Department of ENT-HNS, Command Hospital Air Force, Bangalore, India.
Department of Microbiology, Command Hospital Air Force, Bangalore, India.
Indian J Otolaryngol Head Neck Surg. 2024 Dec;76(6):5731-5739. doi: 10.1007/s12070-024-05075-y. Epub 2024 Sep 17.
Surgical outcomes in otolaryngology have improved with advancements in safety protocols, technology, and patient-centered care. Despite these improvements, surgical complications remain a concern, necessitating continuous evaluation. This study aimed to examine the trends in safe surgery practices and patient outcomes over two years at a tertiary care otolaryngology center, focusing on preoperative, intraoperative, and postoperative phases, as well as patient involvement in decision-making. A retrospective observational study was conducted at a tertiary care otolaryngology center from January 2022 to December 2023. The study included 200 patients who underwent various otolaryngological procedures. Data were collected from hospital records, patient surveys, and follow-up assessments. Key data points included demographics, preoperative assessments, intraoperative details, postoperative outcomes, and patient involvement. Statistical analysis was performed using SPSS version 27, with descriptive statistics, chi-square tests, t-tests, and regression analysis to assess the impact of safety protocols and advanced tools on outcomes. Adherence to safety protocols reduced intraoperative complications from 20 to 10% and postoperative complications from 40 to 20%. Advanced technological tools reduced mean surgery duration from 125 to 100 min and mean recovery time from 8 to 7 days. Shared decision-making improved patient satisfaction scores, averaging 8.5 compared to 6.5 for those without it. The complication rate was also lower in patients involved in shared decision-making (13.3%) compared to those who were not (60%). The results highlight the importance of safety protocols, advanced technology, and patient involvement in improving surgical outcomes in otolaryngology. The reduction in complications and enhanced patient satisfaction underscore the need for continuous implementation of these practices. This study provides valuable insights into optimizing surgical care and supports patient-centered approaches to further improve outcomes.
The online version contains supplementary material available at 10.1007/s12070-024-05075-y.
随着安全协议、技术以及以患者为中心的护理方面的进步，耳鼻喉科的手术效果有所改善。尽管有这些改进，手术并发症仍然令人担忧，需要持续评估。本研究旨在调查一家三级护理耳鼻喉科中心在两年内安全手术实践和患者结局的趋势，重点关注术前、术中和术后阶段，以及患者参与决策的情况。2022年1月至2023年12月在一家三级护理耳鼻喉科中心进行了一项回顾性观察研究。该研究纳入了200例行各种耳鼻喉科手术的患者。数据从医院记录、患者调查和随访评估中收集。关键数据点包括人口统计学、术前评估、术中细节、术后结局和患者参与情况。使用SPSS 27版进行统计分析，采用描述性统计、卡方检验、t检验和回归分析来评估安全协议和先进工具对结局的影响。遵守安全协议使术中并发症从20%降至10%，术后并发症从40%降至20%。先进的技术工具使平均手术时间从125分钟降至100分钟，平均恢复时间从8天降至7天。共同决策提高了患者满意度得分，参与共同决策的患者平均得分为8.5分，未参与的患者平均得分为6.5分。参与共同决策的患者并发症发生率（13.3%）也低于未参与的患者（60%）。结果突出了安全协议、先进技术和患者参与对改善耳鼻喉科手术结局的重要性。并发症的减少和患者满意度的提高强调了持续实施这些做法的必要性。本研究为优化手术护理提供了有价值的见解，并支持以患者为中心的方法以进一步改善结局。
在线版本包含可在10.1007/s12070-024-05075-y获取的补充材料。
