作者
Tanya Fancy, Andrew T Huang, Jason I Kass, Eric D Lamarre, Patrick Tassone, Avinash V Mantravadi, Mohamedkazim M Alwani, Rahul S Subbarayan, Andrés M Bur, Mitchell L Worley, Evan M Graboyes, Caitlin P McMullen, Ofer Azoulay, Mark K Wax, Taylor B Cave, Samer Al-Khudari, Eric H Abello, Kevin M Higgins, Jesse T Ryan, Susannah C Orzell, Richard A Goldman, Swar Vimawala, Rui P Fernandes, Michael Abdelmalik, Karthik Rajasekaran, EL Heidi, Dorina Kallogjeri, Jason T Rich
发表日期
2019/12/1
期刊
JAMA Otolaryngology–Head & Neck Surgery
卷号
145
期号
12
页码范围
1150-1157
出版商
American Medical Association
简介
Importance
Data regarding outcomes after major head and neck ablation and reconstruction in the growing geriatric population (specifically ≥80 years of age) are limited. Such information would be extremely valuable in preoperative discussions with elderly patients about their surgical risks and expected functional outcomes.
Objectives
To identify patient and surgical factors associated with 30-day postoperative complications, 90-day mortality, and 90-day functional decline; to explore whether an association exists between the type of reconstructive procedure and outcome; and to create a preoperative risk stratification system for these outcomes.
Design, Setting, and Participants
This retrospective, multi-institutional cohort study included patients 80 years or older undergoing pedicle or free-flap reconstruction after an ablative head and neck surgery from January 1, 2015, to December 31, 2017, at 17 academic centers …
学术搜索中的文章
T Fancy, AT Huang, JI Kass, ED Lamarre, P Tassone… - JAMA Otolaryngology–Head & Neck Surgery, 2019