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

Blood cancer gene could be key to preventing heart failure

October 16, 2017
A new study, published today in Circulation, shows that the gene Runx1 increases in damaged heart muscle after a heart attack. An international collaboration led by researchers from the University of Glasgow, found that mice ...

Tai chi holds promise as cardiac rehab exercise

October 11, 2017
The slow and gentle movements of Tai Chi hold promise as an alternative exercise option for patients who decline traditional cardiac rehabilitation, according to preliminary research in Journal of the American Heart Association, ...

Mitochondrial DNA could predict risk for sudden cardiac death, heart disease

October 11, 2017
Johns Hopkins researchers report that the level, or "copy number," of mitochondrial DNA—genetic information stored not in a cell's nucleus but in the body's energy-creating mitochondria—is a novel and distinct biomarker ...

Meeting an unmet need: A surgical implant that grows with a child

October 10, 2017
Medical implants can save lives by correcting structural defects in the heart and other organs. But until now, the use of medical implants in children has been complicated by the fact that fixed-size implants cannot expand ...

Fruit fly muscles with a hypertrophic cardiomyopathy mutation don't relax properly

October 9, 2017
Using fruit flies, Johns Hopkins researchers have figured out why a particular inherited human heart condition that is almost always due to genetic mutations causes the heart to enlarge, thicken and fail. They found that ...

Risk factors for heart health linked to marital ups and downs—at least for men

October 9, 2017
Risk factors for heart health seem to be linked to changes over time in the quality of marital relationships—at least for men—finds a study published online in the Journal of Epidemiology & Community Health.

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.