评估日间耳科大耳科手术是否是住院手术的安全可行替代方案,在保持同等并发症发生率的同时,并确定日间手术后入院的原因。
PubMed,Embase,还有Cochrane.
进行了系统搜索。报告日间耳部手术对入院率影响的原始数据的研究,患者满意度,和/或术后并发症被包括在内。使用基于CochraneCollaboration的偏倚风险评估工具的标准评估所选文章的偏倚风险。
共检索到1,734项独特研究,其中35篇讨论34项研究的文章符合数据提取条件。日间耳内手术后的入院率从0%到88%不等,0%至13%的日间stapes骨手术后,日间乳突手术后0%至82%,日间人工耳蜗植入手术后的0%到15%。患者和家长对日间手术的满意度从67%到99%不等。五项比较日间和住院耳科手术的研究表明,听力结果没有差异。术后并发症,或患者满意度。
合并入院率最高的是日间病例乳突手术后。比较日间和住院护理的研究表明,日间耳科手术的听力结果和术后并发症发生率与儿童和成人的住院耳科手术相似。因此,对于儿童和成人,日间大耳科手术似乎是一种安全可行的替代方案.
To assess whether day-
case major otologic ear surgery is a safe and feasible alternative to inpatient surgery, while maintaining equal complication rates, and to identify causes of admission after day-case surgery.
PubMed, Embase, and Cochrane.
A systematic search was conducted. Studies reporting original data on the effect of day-case ear surgery on admission rate, patient satisfaction, and/or postoperative complications were included. Risk of bias of the selected articles was assessed using criteria based on the Cochrane Collaboration\'s tool for assessing risk of bias.
A total of 1,734 unique studies were retrieved of which 35 articles discussing 34 studies were eligible for data extraction. The admission rates ranged from 0% to 88% following day-
case endaural surgery, 0% to 13% following day-
case stapes surgery, 0% to 82% following day-
case mastoid surgery, and 0% to 15% following day-
case cochlear implant surgery. Patient and parent satisfaction regarding day-
case surgery ranged from 67% to 99%. Five studies comparing day-case and inpatient otologic surgery showed no difference in hearing outcome, postoperative complications, or patient satisfaction.
The highest pooled admission rate was seen following day-
case mastoid surgery. Studies comparing day-case and inpatient care suggest hearing results and postoperative complication rates in day-case otologic surgery are similar to inpatient otologic surgery in both children and adults. Therefore, day-case major otologic surgery seems to be a safe and feasible alternative to inpatient surgery for both children and adults.