Chronic heart failure in patients undergoing major head and neck surgery: A hospital-based study.

Autor: Alvarez IA; LSU Health Shreveport, Dept. of Otolaryngology-HNS, United States of America., Ordoyne L; LSU Health Shreveport, Dept. of Otolaryngology-HNS, United States of America., Borne G; LSU Health Shreveport, Dept. of Otolaryngology-HNS, United States of America., Fabian I; LSU Health Shreveport, Dept. of Otolaryngology-HNS, United States of America., Adilbay D; LSU Health Shreveport, Dept. of Otolaryngology-HNS, United States of America., Kandula RA; LSU Health Shreveport, Dept. of Otolaryngology-HNS, United States of America., Asarkar A; LSU Health Shreveport, Dept. of Otolaryngology-HNS, United States of America; Feist Weiller Cancer Center, United States of America., Nathan CA; LSU Health Shreveport, Dept. of Otolaryngology-HNS, United States of America; Feist Weiller Cancer Center, United States of America., Pang J; LSU Health Shreveport, Dept. of Otolaryngology-HNS, United States of America; Feist Weiller Cancer Center, United States of America. Electronic address: john.pang@lsuhs.edu.
Jazyk: angličtina
Zdroj: American journal of otolaryngology [Am J Otolaryngol] 2024 Jan-Feb; Vol. 45 (1), pp. 104043. Date of Electronic Publication: 2023 Sep 18.
DOI: 10.1016/j.amjoto.2023.104043
Abstrakt: Objective: To investigate the effects of chronic heart failure on various post-operative outcomes in head and neck cancer patients undergoing major cancer surgery.
Study Design: For this retrospective cohort study of patients undergoing major head and neck cancer surgery, a sample of 10,002 patients between 2017 and 2019 were identified through the Nationwide Inpatient Sample.
Setting: Patients were selected as undergoing major head and neck cancer surgery, defined as laryngectomy, pharyngectomy, glossectomy, neck dissection, mandibulectomy, and maxillectomy, then separated based on pre-surgical diagnosis of chronic heart failure.
Methods: The effects of pre-operative chronic heart failure on post-surgical outcomes in these patients were investigated by univariable and multivariable logistic regression using ICD-10 codes and SPSS.
Results: A diagnosis of chronic heart failure was observed in 265 patients (2.6 %). Patients with chronic heart failure had more preexisting comorbidities when compared to patients without chronic heart failure (mean ± SD; 4 ± 1 vs. 2 ± 1). Multivariable logistic regression showed that chronic heart failure patients had significantly greater odds of dying during hospitalization (OR 2.86, 95 % CI 1.38-5.91) and experiencing non-routine discharge from admission (OR 1.89, 95 % CI 1.41-2.54) after undergoing major head and neck cancer surgery.
Conclusion: Chronic heart failure is associated with greater length of stay and hospital charges among head and neck cancer patients undergoing major head and neck cancer surgeries. Chronic heart failure patients have significantly greater rates of unfavorable post-operative outcomes, including death during hospitalization and non-routine discharge from admission.
Competing Interests: Declaration of competing interest The Authors declare that there is no conflict of interest or declarations of interest. No funding to report.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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