التفاصيل البيبلوغرافية
| العنوان: |
Enhanced recovery after surgery (ERAS) protocol improves patient outcomes in free flap surgery for head and neck cancer |
| المؤلفون: |
Nieminen, Teija, Tapiovaara, Laura, Back, Leif, Lindford, Andrew, Lassus, Patrik, Lehtonen, Lasse, Mäkitie, Antti, Keski-Säntti, Harri |
| المساهمون: |
HUS Perioperative, Intensive Care and Pain Medicine, Research Program in Systems Oncology, HUS Head and Neck Center, Clinicum, Korva-, nenä- ja kurkkutautien klinikka, HUS Musculoskeletal and Plastic Surgery, Plastiikkakirurgian yksikkö, HUS Diagnostic Center, Research Programs Unit |
| بيانات النشر: |
Springer |
| سنة النشر: |
2023 |
| المجموعة: |
Helsingfors Universitet: HELDA – Helsingin yliopiston digitaalinen arkisto |
| مصطلحات موضوعية: |
Eras, Enhanced recovery after surgery, Free flap surgery, Head and neck cancer, Microvascular reconstruction, 3125 Otorhinolaryngology, ophthalmology, 3126 Surgery, anesthesiology, intensive care, radiology, 3122 Cancers |
| الوصف: |
Background In recent years, enhanced recovery after surgery (ERAS) guidelines have been developed to optimize pre-, intra-, and postoperative care of surgical oncology patients. The aim of this study was to compare management outcome of patients undergoing head and neck cancer (HNC) surgery with free flap reconstruction at our institution before and after the implementation of the ERAS guidelines.Methods This retrospective study comprised 283 patients undergoing HNC surgery with free flap reconstruction between 2013 and 2020. Patients operated before and after the implementation of the ERAS protocol in October 2017 formed the pre-ERAS group (n = 169), and ERAS group (n = 114), respectively.Results In the pre-ERAS group the mean length of stay (LOS) and intensive care unit length of the stay (ICU-LOS) were 20 days (range 7-79) and 6 days (range 1-32), and in the ERAS group 13 days (range 3-70) and 5 days (range 1-24), respectively. Both LOS (p < 0.001) and ICU-LOS (p = 0.042) were significantly reduced in the ERAS group compared to the pre-ERAS group. There were significantly fewer medical complications in the ERAS group (p < 0.003). No difference was found between the study groups in the surgical complication rate or in the 30-day or 6-month mortality rate after surgery.Conclusions We found reduced LOS, ICU-LOS, and medical complication rate, but no effect on the surgical complication rate after implementation of the ERAS guidelines, which supports their use in major HNC surgery. ; Peer reviewed |
| نوع الوثيقة: |
article in journal/newspaper |
| وصف الملف: |
application/pdf |
| اللغة: |
English |
| العلاقة: |
The authors thank statistician Jari Haukka for his statistical work.; Nieminen , T , Tapiovaara , L , Back , L , Lindford , A , Lassus , P , Lehtonen , L , Mäkitie , A & Keski-Säntti , H 2024 , ' Enhanced recovery after surgery (ERAS) protocol improves patient outcomes in free flap surgery for head and neck cancer ' , European Archives of Oto-Rhino-Laryngology , vol. 281 , pp. 907–914 . https://doi.org/10.1007/s00405-023-08292-3Test; ORCID: /0000-0002-3443-3838/work/150715710; http://hdl.handle.net/10138/568332Test; 64cc8659-ef5c-487b-9530-7e819a17f18a; 001101866800002 |
| الإتاحة: |
http://hdl.handle.net/10138/568332Test |
| حقوق: |
cc_by ; info:eu-repo/semantics/openAccess ; openAccess |
| رقم الانضمام: |
edsbas.B7B46DE7 |
| قاعدة البيانات: |
BASE |
