Patient safety with orthognathic surgery in an outpatient setting

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Pekkari, CKarolinska Institutet,Karolinska Inst, Sweden; Folktandvarden Stockholm AB, Sweden; Folktandvarden Stockholm AB, Sweden (författare)

Patient safety with orthognathic surgery in an outpatient setting

Artikel/kapitelEngelska2023

Förlag, utgivningsår, omfång ...

Elsevier,2023
electronicrdacarrier

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LIBRIS-ID:oai:DiVA.org:mau-56985
https://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-56985URI
https://doi.org/10.1016/j.ijom.2022.12.001DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:153046607URI
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-196729URI

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Språk:engelska
Sammanfattning på:engelska

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Ämneskategori:ref swepub-contenttype
Ämneskategori:art swepub-publicationtype

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Funding Agencies|Folktandvarden Stockholm AB, Eastman Institute, Department of Oral and Maxillofacial Surgery; Karolinska University Hospital, Department of Oral and Maxillofacial Surgery; Swedish Association of Oral and Maxillofacial Surgery
Orthognathic surgery is traditionally performed in inpatient care. The question is whether patient safety is maintained when orthognathic surgery is performed in outpatient care. This retrospective cohort study was conducted to investigate patient safety in selected single-jaw orthognathic surgeries performed in outpatient care compared to inpatient care. Postoperative infection, postoperative bleeding, postoperative pain, plate removal, and re-operation, as well as emergency visits/phone calls and postoperative admission during the first 12 months after surgery were recorded. Predictor variables were sex, age, smoking, general disease, antibiotics, operation type, and operation time. Of the 165 patients included, 58 were treated in inpatient care and 107 in outpatient care. No significant difference was found between the groups regarding postoperative bleeding, pain, plate removal, re-operation, or emergency visits/phone calls. Ninety-four percent of outpatients (n = 101) were able to leave the hospital on the day of surgery as planned. There was an increased risk of postoperative infection in the outpatient care group (odds ratio 2.46, P = 0.049). Selected single-jaw orthognathic surgery can be performed in the outpatient setting, with maintained patient safety. The reason for the increased risk of postoperative infection among patients operated in outpatient care should be investigated in further studies.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Odontologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Dentistry hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng
Ambulatory care
Day care
Inpatients
Orthognathic surgery
Outpatient care
Patient safety
Postoperative complications

Biuppslag (personer, institutioner, konferenser, titlar ...)

Weiner, C KDepartment of Dental Medicine, Division of Oral Diagnostics and Rehabilitation, Karolinska Institute, Huddinge, Sweden; Department of Oral and Maxillofacial Surgery, Eastmaninstitutet, Folktandvården Stockholm AB, Stockholm, Sweden,Karolinska Inst, Sweden; Folktandvarden Stockholm AB, Sweden (författare)
Marcusson, AgnetaLinköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Käkkliniken US(Swepub:liu)agnma12 (författare)
Davidson, ThomasLinköpings universitet,Malmö universitet,Odontologiska fakulteten (OD),Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden,Avdelningen för samhälle och hälsa,Medicinska fakulteten,Malmo Univ, Sweden(Swepub:liu)thoda76 (författare)
Naimi-Akbar, AMalmö universitet,Odontologiska fakulteten (OD),Department of Dental Medicine, Division of Oral Diagnostics and Rehabilitation, Karolinska Institute, Huddinge, Sweden; Department of Oral and Maxillofacial Surgery, Eastmaninstitutet, Folktandvården Stockholm AB, Stockholm, Sweden,Karolinska Inst, Sweden; Folktandvarden Stockholm AB, Sweden; Malmo Univ, Sweden(Swepub:mau)aj6331 (författare)
Lund, BKarolinska Institutet,Karolinska Inst, Sweden; Karolinska Univ Hosp, Sweden (författare)
Karolinska InstitutetKarolinska Inst, Sweden; Folktandvarden Stockholm AB, Sweden; Folktandvarden Stockholm AB, Sweden (creator_code:org_t)

Sammanhörande titlar

Ingår i:International Journal of Oral and Maxillofacial Surgery: Elsevier52:7, s. 806-8120901-50271399-0020

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Av författaren/redakt...: Pekkari, C; Weiner, C K; Marcusson, Agnet ...; Davidson, Thomas; Naimi-Akbar, A; Lund, B

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Odontologi

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kirurgi

Artiklar i publikationen: International Jo ...

Av lärosätet: Malmö universitet; Karolinska Institutet; Linköpings universitet

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