Feasibility, safety, and outcomes of a stratified fast-track care trajectory in pituitary surgery.

ABSTRACT:

Objective

Discharge policies concerning hospitalization after endoscopic pituitary tumor surgery are highly variable. A few studies support fast-track discharge; however, this is not commonplace. Our goal was to report the transition to and evaluate the feasibility, safety, clinical- and patient-reported outcomes and costs of fast-track care in pituitary surgery.

Methods

This observational study included 155 patients undergoing pituitary surgery between December 2016 and December 2018. Fast-track care consisted of planned discharge 2-3 days after surgery, followed by daily surveillance by a case manager. All outcomes were compared with patients not eligible for fast-track discharge. The total group (fast-track and non-fast-track) was compared with historic controls (N = 307)

SUBMITTER: Lobatto DJ 

PROVIDER: S-EPMC7343751 | biostudies-literature | 2020 Jul

REPOSITORIES: biostudies-literature