AI Article Synopsis
- The study aimed to optimize a clinical care pathway for head and neck cancer patients through a high-observation protocol (HOP) and assess its impact on ICU admission length and hospital stay.
- The HOP involved early spontaneous breathing trials, reduced sedation, and limited mechanical ventilation for patients undergoing surgery.
- Results showed that patients in the HOP cohort experienced significantly shorter ICU stays, reduced overall hospital stays, and fewer ICU readmissions compared to a historical control group.
Article Abstract
Background: The purpose of this study was to optimize an existing clinical care pathway (CCP) for head and neck cancer with a high-observation protocol (HOP) and to determine the effect on length of intensive care unit (ICU) admission and length of stay in hospital (LOS).
Methods: The HOP mandated initiation of spontaneous breathing trials before the conclusion of the surgery, weaning of sedation, and limiting mechanical ventilation. All patients with head and neck cancer undergoing primary surgery on the HOP were compared to a historical cohort regarding length of ICU admission, ICU readmissions, and LOS.
Results: Ninety-six and 52 patients were observed in "historical" and "HOP" cohorts. The length of ICU admission (1.9 vs 1.2 days; p = .021), LOS (20.3 vs 14.1 days; p = .020), and ICU readmissions (10.4% vs 1.9%; p = .013) were significantly decreased in the "HOP" cohort.
Conclusion: Rapid weaning of sedation and limiting mechanical ventilation may contribute to a shorter length of ICU admission and LOS, as well as decreased ICU readmissions. © 2017 Wiley Periodicals, Inc. Head Neck 39: 1689-1695, 2016.
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| http://dx.doi.org/10.1002/hed.24599 | DOI Listing |
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