Meeting of the Middle Section of the American Laryngological, Rhinological and Otological Society, Inc. Milwaukee, WI, USA, 1999/01/24.
Patients undergoing treatment for head and neck cancer, obstructive sleep apnea, and potential airway obstruction are often unnecessarily admitted to an intensive care unit (ICU).
This study determined the efficacy of an intermediate care unit (OtoCare Unit) for their management.
A mail survey was conducted of 110 academic institutions'experience with intermediate care units ; a retrospective study was performed of our ICU use with analysis of the use of invasive monitoring, length of stay, and cost ; and a retrospective study of our first 168 OtoCare Unit patients and their outcomes, complications, and charges was performed.
There were 56 responses to 110 survey inquiries.
Thirty institutions used some form of intermediate care, while five had a separate otolaryngology unit.
Analysis of our 1-year ICU experience showed that of 54 patients who underwent head and neck surgery, 36 patients were admitted to the ICU.
Of these 36 admissions, only 9 patients required invasive monitoring and the majority had stable clinical courses.
Guidelines were established for an OtoCare Unit : patients use non-ICU beds, mobile noninvasive monitoring units are provided, and a 1 : 4 nurse-to-patient ratio is used.
Phase I included 35 patients who required a mandatory postanesthesia care unit (PACU) stay of 4 hours.
Three minor complications occurred in this group. (...)
Mots-clés Pascal : Carcinome épidermoïde, Tête cou, Obstruction, Voie respiratoire supérieure, Apnée sommeil syndrome, Hospitalisation, Unité soin intensif, Indication, Coût, Qualité, Soin, Rétrospective, Economie, Homme, Tumeur maligne, ORL pathologie
Mots-clés Pascal anglais : Squamous cell carcinoma, Head and neck, Obstruction, Upper respiratory tract, Sleep apnea syndrome, Hospitalization, Intensive care unit, Indication, Costs, Quality, Care, Retrospective, Economy, Human, Malignant tumor, ENT disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0471850
Code Inist : 002B30A04B. Création : 22/03/2000.