■为了研究日常stapes骨手术对听力结果的影响,生活质量,患者满意度,和并发症发生率,与住院stapes骨手术相比。
■单中心,非盲化,三级转诊中心的随机对照试验.
■计划进行原发性或翻修骨手术的112例成年患者被随机分配到日间或住院治疗组。对听力结果的影响(主要是),听力福利,生活质量,患者满意度,术后并发症,交叉或再入院的原因(二次)使用听觉评估进行评估,问卷,和患者在1年随访期间的图表。
■住院组和日间病例组之间的听力测量和术后成功率没有差异。两组在总体生活质量(QoL)(HUI3)方面没有统计学上的显着差异。疾病特异性QoL(GHSI),术后健康状况改变(GBI),术后并发症发生率。我们发现患者对日常案例方法的满意度很高。分配到住院组的六名患者要求当天出院。在日间病例中,与住院护理的交叉率为38%(20名患者),主要是由于术后恶心和呕吐(25%),眩晕(20%),或头晕(40%)。
■我们发现听力测量结果没有显着差异,QoL,患者满意度和术后并发症,和住院的stapes骨手术。因此,就术后结局而言,日间情况下的stapes骨手术似乎是一种可行的方法,安全,以及考虑患者选择和手术计划时的可取性。除此之外,患者和手术团队对日间病例方法的熟悉程度,将增加日间stapes骨手术的接受度和可行性。
UNASSIGNED: To investigate the effect of day-
case stapes surgery on hearing results, quality of life, patient satisfaction, and complications rates, compared with inpatient stapes surgery.
UNASSIGNED: A single-center, nonblinded, randomized controlled trial in a tertiary referral center.
UNASSIGNED: One hundred twelve adult patients planned for primary or revision stapes surgery were randomly assigned to either the day-
case or inpatient treatment group. The effect on hearing outcomes (primarily), hearing benefits, quality of life, patient satisfaction, postoperative complications, and causes of crossover or readmission (secondarily) were assessed using auditory evaluations, questionnaires, and patients\' charts over a follow-up period of 1 year.
UNASSIGNED: Audiometric measurements and postoperative success rates were not different between the inpatient and day-case group. There were no statistically significant differences between both groups regarding the overall quality of life (QoL) (HUI3), disease-specific QoL (GHSI), change in postoperative health status (GBI), and postoperative complications rate. We found a high patient satisfaction toward the day-
case approach. Six patients allocated to the inpatient group requested same-day discharge. Of the day-
case patients, there was a crossover rate to inpatient care of 38% (20 patients), mainly due to postoperative nausea and vomiting (25%), vertigo (20%), or dizziness (40%).
UNASSIGNED: We found no significant differences in outcomes of audiometric measurements, QoL, patient satisfaction and postoperative complications following day-case, and inpatient stapes surgery. Therefore, stapes surgery in a day-case setting seems to be a feasible approach in terms of postoperative outcome, safety, and desirability when taking patient selection and surgical planning into account. Besides this, the familiarity with a day-case approach of both patient and the surgical team, will increase the acceptance and feasibility of day-
case stapes surgery.