To determine whether outpatient parotidectomy can be performed safely with high patient satisfaction and to compare the cost of outpatient and inpatient parotidectomy.
A retrospective review of hospital and office charts of patients admitted for elective outpatient and inpatient parotidectomy from 1992 to 1994.
A community teaching hospital and a multispecialty group practice that are part of an integrated health care system.
Nineteen consecutive outpatients and 13 concurrent inpatients admitted electively for parotidectomy.
Outpatient and inpatient parotidectomies performed as a sole procedure.
Duration of surgery and anesthesia, length of stay after surgery, complications, hospital and office charges, and a patient satisfaction survey.
Twenty patients were admitted for outpatient parotidectomy ; 19 (95%) went home the same day.
Outpatients were discharged an average of 4 hours after surgery.
No complications were specifically attributable to outpatient status.
The mean savings on hospital-based charges compared with a 1-night stay was $196 per case.
The outpatients had 2 more postoperative visits in the first 90 days after surgery ; their postoperative care cost $72 per case more than for the inpatient group.
Patient satisfaction was high, but it was higher in the inpatient group.
Parotidectomy can be performed safely on outpatients. (...)
Mots-clés Pascal : Parotidectomie, Ambulatoire, Coût, Economie, Rétrospective, Homme, Etude comparative, Chirurgie
Mots-clés Pascal anglais : Parotidectomy, Ambulatory, Costs, Economy, Retrospective, Human, Comparative study, Surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0473581
Code Inist : 002B30A04B. Création : 10/04/1997.