Assessment of the safety and feasibility of 24-hour hospitalization after thyroidectomy

This study assessed the safety and feasibility of 24-hour hospitalization after thyroid surgery. A randomized controlled trial study was performed for 432 patients scheduled for thyroidectomy in Guangdong General Hospital between January 2014 and January 2016. Group A cases (n = 216) were 24-hour ho...

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Bibliographic Details
Published in:Canadian journal of physiology and pharmacology 2018-09, Vol.96 (9), p.893-897
Main Authors: Yang, Youcheng, Huang, Kan, Huang, Yijie, Peng, Lin
Format: Article
Language:English
Subjects:
chirurgie d’un jour
Complications
day surgery
Feasibility studies
Nausea
Patient outcomes
Patients
Pharmacology
Physiology
Surgery
Surgical outcomes
Thyroid
Thyroid gland
Thyroidectomy
thyroïdectomie
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Summary:This study assessed the safety and feasibility of 24-hour hospitalization after thyroid surgery. A randomized controlled trial study was performed for 432 patients scheduled for thyroidectomy in Guangdong General Hospital between January 2014 and January 2016. Group A cases (n = 216) were 24-hour hospital stay and group B cases (n = 216) were inpatient. Preoperative patient characteristics and operative characteristics as well surgical complications were evaluated. Two hundred and fourteen patients (99%) of group A were discharged after a 24-hour postoperative observation except 1 patient hospitalized 2 days for persistent nausea after surgery, and 1 patient who was hospitalized for 2 days for fear of the complication after the operation. The complication rates were similar between the 2 groups (9/216, 11/216; P > 0.05) and no one was readmitted for operation. The overall complication rate of 24-hour hospital stay procedure was low, and there were no differences in the rate of complications between these 2 groups. Thyroid surgery with 24-hour hospital stay is feasible and safe by experienced surgeon in a setting of appropriate facility and management protocol.
ISSN:0008-4212
1205-7541
DOI:10.1139/cjpp-2018-0041