Browse by author
Lookup NU author(s): Professor Linda Sharp
Full text for this publication is not currently held within this repository. Alternative links are provided below where available.
Objective. To determine the factors that predict length of stay (LOS) in hospital after head and neck cancer (HNC) surgery for patients treated in public hospitals in Ireland between 2002 and 2010.Study Design. Cancer registry data on patients with carcinoma of the oropharynx/larynx were identified and linked with hospital in-patient discharge records. Associations between clinical (e.g., surgery type, neoadjuvant chemoradiation), health service factors, and LOS were investigated by using negative binomial regression.Results. Of the patients diagnosed with HNC, 50% (n = 1651) underwent HNC surgery. Median LOS was 10 days (range: 1289). Variables associated with prolonged LOS included tracheostomy (neck dissection + tracheostomy versus neck dissection only: incident rate ratio [IRR] 2.66; 95% confidence interval [CI] 2.01-3.50); postoperative infection (IRR 2.26; 95% CI 1.94-2.62); and neoadjuvant radiotherapy (IRR 2.15; 95% CI 1.64-2.82). Advanced stage, gastrostomy, and reconstruction were also associated with prolonged LOS.Conclusions. Tracheostomy and postoperative infection were associated with prolonged LOS. Further investigation of these modifiable risk factors is warranted.
Author(s): McDevitt J, Cancela MD, Kelly M, Comber H, Sharp L
Publication type: Article
Publication status: Published
Journal: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Year: 2016
Volume: 121
Issue: 1
Pages: 22-28.e1
Print publication date: 01/01/2016
Online publication date: 11/08/2015
Acceptance date: 02/08/2015
ISSN (print): 2212-4403
ISSN (electronic): 1528-395X
Publisher: Elsevier
URL: http://dx.doi.org/10.1016/j.oooo.2015.08.004
DOI: 10.1016/j.oooo.2015.08.004
Altmetrics provided by Altmetric
