Abstract：
UNASSIGNED: Primary objective: describe rates of 30-days unplanned readmission following outpatient resection of oral cavity cancer. Secondary objective: evaluate for patient and treatment factors associated with readmission.
UNASSIGNED: Retrospective, dual-institution cohort study of 2 tertiary care referral centers involving adult patients undergoing resection of oral cavity cancer with plans for same-day discharge. Consecutive sample of 77 patients included. Primary outcome was unplanned readmission to emergency room or inpatient stay in the 30 days following surgery. Comparison testing was used between return and non-return groups.
UNASSIGNED: Among 77 patients treated with outpatient surgery for oral cavity cancer, 19 (25%) returned to the hospital within 30 days. Among the reasons for return, 16 (80%) were directly related to surgery, and 4 (20%) were related to perioperative medical complications not directly related to a surgical site. Among the 25 patients also undergoing sentinel lymph node biopsy with their oral cavity resection, none returned to the hospital for neck-related complications. While most patients could be safely observed and discharged after return to the hospital, 8 patients (10%) required inpatient readmission. No significant differences between return and non-return groups were identified, although there was a trend toward shorter driving distance from hospital for the return group (47.6 miles vs. 69.5 miles, P = 0.097).
UNASSIGNED: Unplanned return to the hospital following outpatient oral cavity resection is prevalent and primarily driven by postoperative primary resection site concerns. Among patients selected for same day discharge, no definite population at highest risk of unplanned return was identified.
UNASSIGNED: Retrospective, dual-institution cohort study of 2 tertiary care referral centers involving adult patients undergoing resection of oral cavity cancer with plans for same-day discharge. Consecutive sample of 77 patients included. Primary outcome was unplanned readmission to emergency room or inpatient stay in the 30 days following surgery. Comparison testing was used between return and non-return groups.
UNASSIGNED: Among 77 patients treated with outpatient surgery for oral cavity cancer, 19 (25%) returned to the hospital within 30 days. Among the reasons for return, 16 (80%) were directly related to surgery, and 4 (20%) were related to perioperative medical complications not directly related to a surgical site. Among the 25 patients also undergoing sentinel lymph node biopsy with their oral cavity resection, none returned to the hospital for neck-related complications. While most patients could be safely observed and discharged after return to the hospital, 8 patients (10%) required inpatient readmission. No significant differences between return and non-return groups were identified, although there was a trend toward shorter driving distance from hospital for the return group (47.6 miles vs. 69.5 miles, P = 0.097).
UNASSIGNED: Unplanned return to the hospital following outpatient oral cavity resection is prevalent and primarily driven by postoperative primary resection site concerns. Among patients selected for same day discharge, no definite population at highest risk of unplanned return was identified.
摘要：
■主要目标：描述门诊切除口腔癌后30天非计划再入院率。次要目标：评估与再入院相关的患者和治疗因素。
■回顾性，由2个三级医疗转诊中心组成的双机构队列研究,涉及接受口腔癌切除术并计划当日出院的成年患者.包括77名患者的连续样本。主要结果是手术后30天内计划外再入院或住院。在返回组和不返回组之间使用比较测试。
■在接受口腔癌门诊手术治疗的77名患者中，19人（25％）在30天内返回医院。在返回的原因中，16人（80%）与手术直接相关，4例(20%)与与手术部位无直接关系的围手术期内科并发症有关.在25例同时接受前哨淋巴结活检并进行口腔切除术的患者中，没有人因颈部相关并发症返回医院。虽然大多数患者可以安全观察并返回医院后出院，8例患者(10%)需要再次住院。没有发现回报和非回报组之间的显著差异，尽管返回组离医院的行驶距离有缩短的趋势(47.6英里vs.69.5英里,P=0.097)。
门诊口腔切除术后计划外返回医院很普遍，主要是由于术后原发性切除部位的担忧。在选择当天出院的患者中，没有确定非计划回报风险最高的人群.
■回顾性，由2个三级医疗转诊中心组成的双机构队列研究,涉及接受口腔癌切除术并计划当日出院的成年患者.包括77名患者的连续样本。主要结果是手术后30天内计划外再入院或住院。在返回组和不返回组之间使用比较测试。
■在接受口腔癌门诊手术治疗的77名患者中，19人（25％）在30天内返回医院。在返回的原因中，16人（80%）与手术直接相关，4例(20%)与与手术部位无直接关系的围手术期内科并发症有关.在25例同时接受前哨淋巴结活检并进行口腔切除术的患者中，没有人因颈部相关并发症返回医院。虽然大多数患者可以安全观察并返回医院后出院，8例患者(10%)需要再次住院。没有发现回报和非回报组之间的显著差异，尽管返回组离医院的行驶距离有缩短的趋势(47.6英里vs.69.5英里,P=0.097)。
门诊口腔切除术后计划外返回医院很普遍，主要是由于术后原发性切除部位的担忧。在选择当天出院的患者中，没有确定非计划回报风险最高的人群.
