Evidence map›Paper›PMID 40155544›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2025

Evaluation of home discharge rates following total (pharyngo-)laryngectomy after implementation of a city-hospital network.

Ismaël Ouzzine, Stéphane Gargula, Ralph Haddad, Stéphane Fabriès, Laure Santini, Pauline Paris, Alexia Mattei, Justin Michel, Nicolas Fakhry

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Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Ismaël OuzzineDepartment of Oto-Rhino-Laryngology - Head and Neck Surgery, AP- HM, La Conception University Hospital, Aix-Marseille University, Marseille, France.ORCID http://orcid.org/0009-0009-4273-9667
Stéphane GargulaDepartment of Oto-Rhino-Laryngology - Head and Neck Surgery, AP- HM, La Conception University Hospital, Aix-Marseille University, Marseille, France.
Ralph HaddadDepartment of Oto-Rhino-Laryngology - Head and Neck Surgery, AP- HM, La Conception University Hospital, Aix-Marseille University, Marseille, France.
Stéphane FabrièsAP-HM, Service ORL et Chirurgie Cervico-Faciale, Liberal and Hospital Interveners United for the Patient (ILHUP), Sainte Marguerite University, Centre Hospitalier Universitaire (CHU) la Conception, Assistance Publique - Hôpitaux de Marseille (AP-HM), Marseille, France.
Laure SantiniDepartment of Oto-Rhino-Laryngology - Head and Neck Surgery, AP- HM, La Conception University Hospital, Aix-Marseille University, Marseille, France.
Pauline ParisDepartment of Oto-Rhino-Laryngology - Head and Neck Surgery, AP- HM, La Conception University Hospital, Aix-Marseille University, Marseille, France.
Alexia MatteiDepartment of Oto-Rhino-Laryngology - Head and Neck Surgery, AP- HM, La Conception University Hospital, Aix-Marseille University, Marseille, France.
Justin MichelDepartment of Oto-Rhino-Laryngology - Head and Neck Surgery, AP- HM, La Conception University Hospital, Aix-Marseille University, Marseille, France.
Nicolas FakhryDepartment of Oto-Rhino-Laryngology - Head and Neck Surgery, AP- HM, La Conception University Hospital, Aix-Marseille University, Marseille, France. nicolas.fakhry@ap-hm.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn 2017, an innovative partnership was established between the ENT department of La Conception Hospital in Marseille and a city-hospital network (ILHUP) to facilitate early discharge after total laryngectomy (TL) and total pharyngo-laryngectomy (TPL). The main objective was to compare the home discharge rate versus transfer to a rehabilitation facility before and after implementation of this partnership.

methodsThis single-center retrospective study included 205 patients who underwent TL/TPL between January 2012 and December 2023, divided into two groups: group 1 (n = 93) and group 2 (n = 112) before and after implementation of the city-hospital network.

resultsThe home discharge rate in Group 2 was significantly higher than in Group 1 (55.4% vs. 40.9%, p = 0.039). Within group 2, mean length of hospital stay (23.8 vs. 26.12 days, p = 0.295) and two-month readmission rate (4.8% vs. 10%, p = 0.321) were similar between patients discharged home and those transferred to rehabilitation facilities. Multivariate analysis showed that implementation of the city-hospital network partnership was the only factor independently associated with an increased home discharge rate (p = 0.018).

conclusionImplementation of a partnership with a city-hospital network significantly increased the home discharge rate after total (pharyngo-) laryngectomy without compromising patient safety.

Indexed as

Hospitals, UrbanLaryngeal NeoplasmsLaryngectomyPatient DischargePharyngectomyAgedFemaleFranceHumansLength of StayMaleMiddle AgedPatient ReadmissionRetrospective StudiesCity-hospital networkEnhanced recovery after surgeryHome dischargePostoperative complicationsTotal (pharyngo-)laryngectomy

Identifiers

PMID40155544

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.