Evaluation of a short-stay program for patients undergoing mastectomy
| Autor: | Marcia Grant, J. David Beatty, William A. Kokal, Angela Hart, Daniel U. Riihimaki, Jose J. Terz, L. Robert Hill, David M. Hyams, Lawrence D. Wagman, Terri Kirshner, Marge Northrup |
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| Rok vydání: | 1989 |
| Předmět: |
medicine.medical_specialty
Breast surgery medicine.medical_treatment Breast Neoplasms Mastectomy Segmental Mastectomy Modified Radical Breast cancer medicine Humans Primary healing Early discharge Mastectomy Simple Retrospective Studies business.industry Retrospective cohort study General Medicine Length of Stay Middle Aged medicine.disease Patient Discharge Surgery Short stay Oncology Seroma Female business Mastectomy |
| Zdroj: | Journal of Surgical Oncology. 41:98-102 |
| ISSN: | 1096-9098 0022-4790 |
| DOI: | 10.1002/jso.2930410209 |
| Popis: | Two hundred twenty-eight patients were included in a retrospective study to evaluate the morbidity and feasibility of early discharge after mastectomy. Group I (early discharge, n = 75) patients were given pre- and postoperative instruction related to wound and drain care. Group II (concurrent control, n = 44) was given similar postoperative instruction, but received no preoperative teaching. Group III (historical controls, n = 109) underwent surgery during a period of more liberal hospitalization and discharge policies. The groups were similar in age, cultural background, operations performed, and pathologic diagnosis. Length of stay for groups I, II, and III was 5.5 +/- 0.4, 3.5 +/- 0.2, and 8.6 +/- 0.3 days, respectively. Groups I and II had a significantly shorter stay than group III. There was no difference among the groups for the presence of wound erythema, rate of primary healing, seroma formation, or wound infection. The practice of same-day admission and early discharge to limit length of stay for patients undergoing mastectomy is safe and effective. |
| Databáze: | OpenAIRE |
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