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  1. A prospective, double-blind, randomized study of the effects of perioperative steroids on palatoplasty patients.

    Article - En anglais

    Objective 

    To determine whether perioperative steroids affect the outcome of patients who undergo palatoplasty.

    Design 

    A prospective, double-blind, randomized study.

    Setting 

    A university medical center.

    Patients 

    Twenty patients undergoing primary repair of a cleft palate.

    Intervention 

    A prospective double-blind technique was used to randomly assign patients to receive a placebo or dexamethasone sodium phosphate perioperatively.

    Main Outcome Measure 

    Patients were monitored for postoperative airway distress, fever, oral fluid intake, days of hospitalization, and wound healing.

    Results 

    The use of perioperative steroids was associated with shorter hospitalizations.

    No adverse sequelae from the administration of steroids were identified.

    Conclusion 

    In our current managed care environment, the use of perioperative steroids may play an important role in reducing health care costs.

    Mots-clés Pascal : Fissure congénitale, Palais, Homme, Traitement, Plastie, Dexaméthasone, Préopératoire, Postopératoire, Coût, Hospitalisation, Efficacité traitement, Nourrisson, Complication, Corticostéroïde, Stomatologie, Cavité buccale pathologie, Maladie congénitale, Malformation, Chirurgie, Economie santé, Etude double aveugle

    Mots-clés Pascal anglais : Cleft, Palate, Human, Treatment, Plasty, Dexamethasone, Preoperative, Postoperative, Costs, Hospitalization, Treatment efficiency, Infant, Complication, Corticosteroid, Stomatology, Oral cavity disease, Congenital disease, Malformation, Surgery, Health economy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0192568

    Code Inist : 002B02L. Création : 199608.