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Critical Care Admissions following Total Laryngectomy: Is It Time to Change Our Practice?
Joint Authors
Walijee, Hussein Z.
Berry, Sandeep
Morgan, Alexandria
Gibson, Bethan
Jaffery, Ali
Source
International Journal of Otolaryngology
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-09-26
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Critical Care Unit (CCU) beds are a limited resource and in increasing demand.
Studies have shown that complex head and neck patients can be safely managed on a ward setting given the appropriate staffing and support.
This retrospective case series aims to quantify the CCU care received by patients following total laryngectomy (TL) at a District General Hospital (DGH) and compare patient outcomes in an attempt to inform current practice.
Data relating to TL were collected over a 5-year period from 1st January 2010 to 31st December 2015.
A total of 22 patients were included.
All patients were admitted to CCU postoperatively for an average length of stay of 25.5 hours.
95% of these patients were admitted to CCU for the purpose of close monitoring only, not requiring any active treatment prior to discharge to the ward.
73% of total complications were encountered after the first 24 hours postoperatively at which point patients had been stepped down to ward care.
Avoiding the use of CCU beds and instead providing the appropriate level of care on the ward would result in a potential cost saving of approximately £8,000 with no influence on patient morbidity and mortality.
American Psychological Association (APA)
Walijee, Hussein Z.& Morgan, Alexandria& Gibson, Bethan& Berry, Sandeep& Jaffery, Ali. 2016. Critical Care Admissions following Total Laryngectomy: Is It Time to Change Our Practice?. International Journal of Otolaryngology،Vol. 2016, no. 2016, pp.1-8.
https://search.emarefa.net/detail/BIM-1106423
Modern Language Association (MLA)
Walijee, Hussein Z.…[et al.]. Critical Care Admissions following Total Laryngectomy: Is It Time to Change Our Practice?. International Journal of Otolaryngology No. 2016 (2016), pp.1-8.
https://search.emarefa.net/detail/BIM-1106423
American Medical Association (AMA)
Walijee, Hussein Z.& Morgan, Alexandria& Gibson, Bethan& Berry, Sandeep& Jaffery, Ali. Critical Care Admissions following Total Laryngectomy: Is It Time to Change Our Practice?. International Journal of Otolaryngology. 2016. Vol. 2016, no. 2016, pp.1-8.
https://search.emarefa.net/detail/BIM-1106423
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1106423