{"title":"Evolving Trends in Safe Surgery in Otolaryngology: Experience from a Tertiary Care Centre.","authors":"Sanjay Kumar, Debmita Dutta, Angshuman Dutta, Surjeet Dwivedi, Roohie Singh","doi":"10.1007/s12070-024-05075-y","DOIUrl":null,"url":null,"abstract":"<p><p>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.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s12070-024-05075-y.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"76 6","pages":"5731-5739"},"PeriodicalIF":0.6000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569297/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Otolaryngology and Head and Neck Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s12070-024-05075-y","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/9/17 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
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.
Supplementary information: The online version contains supplementary material available at 10.1007/s12070-024-05075-y.
期刊介绍：
Indian Journal of Otolaryngology and Head & Neck Surgery was founded as Indian Journal of Otolaryngology in 1949 as a scientific Journal published by the Association of Otolaryngologists of India and was later rechristened as IJOHNS to incorporate the changes and progress.
IJOHNS, undoubtedly one of the oldest Journals in India, is the official publication of the Association of Otolaryngologists of India and is about to publish it is 67th Volume in 2015. The Journal published quarterly accepts articles in general Oto-Rhino-Laryngology and various subspecialities such as Otology, Rhinology, Laryngology and Phonosurgery, Neurotology, Head and Neck Surgery etc.
The Journal acts as a window to showcase and project the clinical and research work done by Otolaryngologists community in India and around the world. It is a continued source of useful clinical information with peer review by eminent Otolaryngologists of repute in their respective fields. The Journal accepts articles pertaining to clinical reports, Clinical studies, Research articles in basic and applied Otolaryngology, short Communications, Clinical records reporting unusual presentations or lesions and new surgical techniques. The journal acts as a catalyst and mirrors the Indian Otolaryngologist’s active interests and pursuits. The Journal also invites articles from senior and experienced authors on interesting topics in Otolaryngology and allied sciences from all over the world.
The print version is distributed free to about 4000 members of Association of Otolaryngologists of India and the e-Journal shortly going to make its appearance on the Springer Board can be accessed by all the members.
Association of Otolaryngologists of India and M/s Springer India group have come together to co-publish IJOHNS from January 2007 and this bondage is going to provide an impetus to the Journal in terms of international presence and global exposure.
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