Ismaël Ouzzine, Stéphane Gargula, Ralph Haddad, Stéphane Fabriès, Laure Santini, Pauline Paris, Alexia Mattei, Justin Michel, Nicolas Fakhry
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引用次数: 0
摘要
简介：2017年，马赛La Conception医院的耳鼻喉科与城市医院网络（ILHUP）建立了创新的合作伙伴关系，以促进全喉切除术（TL）和全咽喉切除术（TPL）后的早期出院。主要目的是比较这一伙伴关系实施前后的家庭出院率和转到康复机构的比率。方法：本研究为单中心回顾性研究，纳入2012年1月至2023年12月期间接受TL/TPL治疗的患者205例，分为两组：1组（n = 93）和2组（n = 112）。结果：2组出院率明显高于1组（55.4% vs. 40.9%, p = 0.039）。在第二组中，出院患者的平均住院时间（23.8天对26.12天，p = 0.295）和两个月再入院率（4.8%对10%，p = 0.321）与转入康复机构的患者相似。多因素分析显示，实施城市医院网络伙伴关系是唯一与家庭出院率增加独立相关的因素（p = 0.018）。结论：与城市医院网络合作的实施显著提高了全（咽）喉切除术后的出院率，同时不影响患者的安全。
Evaluation of home discharge rates following total (pharyngo-)laryngectomy after implementation of a city-hospital network.
Introduction: In 2017, an innovative partnership was established between the ENT department of La Conception Hospital in Marseille and a city-hospital network (ILHUP) to facilitate early discharge after total laryngectomy (TL) and total pharyngo-laryngectomy (TPL). The main objective was to compare the home discharge rate versus transfer to a rehabilitation facility before and after implementation of this partnership.
Methods: This single-center retrospective study included 205 patients who underwent TL/TPL between January 2012 and December 2023, divided into two groups: group 1 (n = 93) and group 2 (n = 112) before and after implementation of the city-hospital network.
Results: The home discharge rate in Group 2 was significantly higher than in Group 1 (55.4% vs. 40.9%, p = 0.039). Within group 2, mean length of hospital stay (23.8 vs. 26.12 days, p = 0.295) and two-month readmission rate (4.8% vs. 10%, p = 0.321) were similar between patients discharged home and those transferred to rehabilitation facilities. Multivariate analysis showed that implementation of the city-hospital network partnership was the only factor independently associated with an increased home discharge rate (p = 0.018).
Conclusion: Implementation of a partnership with a city-hospital network significantly increased the home discharge rate after total (pharyngo-) laryngectomy without compromising patient safety.
期刊介绍：
Official Journal of
European Union of Medical Specialists – ORL Section and Board
Official Journal of Confederation of European Oto-Rhino-Laryngology Head and Neck Surgery
"European Archives of Oto-Rhino-Laryngology" publishes original clinical reports and clinically relevant experimental studies, as well as short communications presenting new results of special interest. With peer review by a respected international editorial board and prompt English-language publication, the journal provides rapid dissemination of information by authors from around the world. This particular feature makes it the journal of choice for readers who want to be informed about the continuing state of the art concerning basic sciences and the diagnosis and management of diseases of the head and neck on an international level.
European Archives of Oto-Rhino-Laryngology was founded in 1864 as "Archiv für Ohrenheilkunde" by A. von Tröltsch, A. Politzer and H. Schwartze.
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