High-observation protocol cuts length of stay in head, neck CA

July 7, 2017

(HealthDay)—A high-observation protocol (HOP) appears to optimize clinical care for patients with head and neck cancer undergoing primary surgery, according to a study published online June 20 in Head & Neck.

Brittany Barber, M.D., from the University of Alberta in Edmonton, Canada, and colleagues compared patients with head and undergoing primary surgery on the high-observation protocol (52 patients) to a historical cohort (96 patients). Differences in length of (ICU) admission, ICU readmissions, and length of stay were measured.

The researchers found that the HOP clinical pathway was associated with significantly decreased length of ICU admission (1.9 versus 1.2 days; P = 0.021), length of stay (20.3 versus 14.1 days; P = 0.020), and ICU readmissions (10.4 versus 1.9 percent; P = 0.013).

"Rapid weaning of sedation and limiting mechanical ventilation may contribute to a shorter length of ICU admission and length of stay, as well as decreased ICU readmissions," the authors write.

Explore further: 30-day unplanned readmit rate low but costly in head, neck Sx

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

30-day unplanned readmit rate low but costly in head, neck Sx

April 22, 2015
(HealthDay)—For patients undergoing head and neck surgery, 30-day unplanned readmission rates are low, but costly, according to a review published online March 9 in Head & Neck.

Surgical glue reinforcement OK for lap sleeve gastrectomy

March 27, 2017
(HealthDay)—Surgical glue is safe and cost-effective, compared to standard stapling, during laparoscopic sleeve gastrectomy, according to a study published online March 21 in the Journal of Evaluation in Clinical Practice.

Shorter length of stay tied to earlier readmission for seniors

March 17, 2017
(HealthDay)—For older patients discharged from the hospital to post-acute care (PAC) facilities, shorter length of hospital stay is associated with earlier readmission, according to a study published online March 3 in the ...

ASCO: alvimopan helpful for men undergoing testicular CA surgery

February 17, 2017
(HealthDay)—For men with testicular cancer undergoing retroperitoneal lymph node dissection (RPLND), alvimopan may reduce hospital length of stay (LOS) and enhance gastrointestinal recovery, according to a study presented ...

Reduced cancer-independent life expectancy in head, neck cancer

June 27, 2017
(HealthDay)—Patients with head and neck cancer have reduced life expectancy, independent of cancer, according to a study published online June 22 in Head & Neck.

More side effects with CRT plus metformin in head, neck cancer

May 7, 2017
(HealthDay)—Patients with advanced head and neck cancer undergoing chemoradiotherapy (CRT) and receiving metformin experience more side effects than patients not on metformin, according to research published online April ...

Recommended for you

Heart researchers develop a new, promising imaging technique for cardiac arrhythmias

February 22, 2018
Every five minutes in Germany alone, a person dies of sudden cardiac arrest or fibrillation, the most common cause of death worldwide. This is partly due to the fact that doctors still do not fully understand exactly what ...

Scientists use color-coded tags to discover how heart cells develop

February 22, 2018
UCLA researchers used fluorescent colored proteins to trace how cardiomyocytes—cells in heart muscle that enable it to pump blood—are produced in mouse embryos. The findings could eventually lead to methods for regenerating ...

Beetroot juice supplements may help certain heart failure patients

February 22, 2018
Beetroot juice supplements may help enhance exercise capacity in patients with heart failure, according to a new proof-of-concept study. Exercise capacity is a key factor linked to these patients' quality of life and even ...

'Beetroot pill' could help save patients from kidney failure after heart X-ray

February 22, 2018
Beetroot may reduce the risk of kidney failure in patients having a heart x-ray, according to research led by Queen Mary University of London.

Women once considered low risk for heart disease show evidence of previous heart attack scars

February 20, 2018
Women who complain about chest pain often are reassured by their doctors that there is no reason to worry because their angiograms show that the women don't have blockages in the major heart arteries, a primary cause of heart ...

Can your cardiac device be hacked?

February 20, 2018
Medical devices, including cardiovascular implantable electronic devices could be at risk for hacking. In a paper publishing online today in the Journal of the American College of Cardiology, the American College of Cardiology's ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.