Postoperative Daycare as a Safe and Cost-Effective Option for Secondary Alveolar Bone Graft (SABG) Surgery: A Retrospective Comparative Cohort Study.

IF 1.2 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Cleft Palate-Craniofacial Journal Pub Date : 2024-09-01 Epub Date: 2023-04-25 DOI:10.1177/10556656231171210

Diandra S Natsir Kalla, Muhammad Ruslin, Irene H A Aartman, Marco N Helder, Tymour Forouzanfar, Marjolijn Gilijamse

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引用次数: 0

Abstract

Objective: To evaluate the outcomes of Secondary Alveolar Bone Grafting (SABG) in patients treated either in daycare or with multiple day hospitalization (MDH) in relation to costs and complication rates.

Design: Retrospective comparative cohort study.

Setting: The data was collected from two settings: Postoperative daycare or MDH after oral cleft surgery in an Academic Medical Center in The Netherlands.

Patients: Data of 137 patients with unilateral Cleft lip, alveolus, and palate (CLAP) treated between 2006-2018 were evaluated. Registered clinical variables: age, gender, cleft subtype, bone donor site, type of hospitalization, length of stay, additional surgery, complications, surgeons, and costs.

Interventions: Closure of the alveolar cleft with/without closure of the anterior palate.

Main outcome measures: Univariate analyses.

Results: Of the 137 patients, 46.7% were treated in MDH, and 53.3% in daycare. Total costs for daycare were significantly lower (P < .001). All patients treated in daycare received mandibular symphysis bone, whereas in MDH, 46.9% received iliac crest bone instead. Bone donor site was associated with postoperative care type. Complication rates were slightly but not significantly higher in daycare (26%) vs. MDH (14.1%) (P = .09). Most were Grade I (minor) according to Clavien Dindo classification.

Conclusions: Daycare after alveolar cleft surgery is about as safe as MDH, but significantly cheaper.

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术后日间护理作为继发性牙槽骨移植 (SABG) 手术的一种安全且经济有效的选择：回顾性队列比较研究。

目的评估日间护理或多日住院（MDH）患者二次牙槽骨移植术（SABG）在成本和并发症发生率方面的效果：设计：回顾性队列比较研究：数据从两种环境中收集：荷兰一家学术医疗中心的口腔裂隙手术后日间护理或 MDH：评估了 2006-2018 年间接受治疗的 137 名单侧唇、齿槽和腭裂（CLAP）患者的数据。登记的临床变量包括：年龄、性别、唇裂亚型、供骨部位、住院类型、住院时间、额外手术、并发症、外科医生和费用：主要结果测量：单变量分析：单变量分析：在137名患者中，46.7%在MDH接受治疗，53.3%在日间护理机构接受治疗。日间护理的总费用明显较低（P P = .09）。根据 Clavien Dindo 的分类，大多数患者属于 I 级（轻微）：结论：齿槽裂手术后的日间护理与 MDH 一样安全，但费用明显更低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cleft Palate-Craniofacial Journal 医学-外科

CiteScore

2.70

自引率

36.40%

发文量

215

期刊介绍： The Cleft Palate-Craniofacial Journal (CPCJ) is the premiere peer-reviewed, interdisciplinary, international journal dedicated to current research on etiology, prevention, diagnosis, and treatment in all areas pertaining to craniofacial anomalies. CPCJ reports on basic science and clinical research aimed at better elucidating the pathogenesis, pathology, and optimal methods of treatment of cleft and craniofacial anomalies. The journal strives to foster communication and cooperation among professionals from all specialties.