The association between gastrostomy tube placement, poor post-operative outcomes, and hospital re-admissions in head and neck cancer patients.

摘要: Abstract Objectives Investigate the relationship of G-tube placement timing on post-operative outcomes. Participants 908 patients underwent resection head and neck upper aerodigestive tract tumors between 2007 2013. Patient charts were retrospectively screened for patient demographics, pre-operative nutrition variables, co-morbid conditions, Tumor-Node-Metastasis staging, surgical treatment type, placement. Exclusionary criteria included death within first three months resections performed solely nodal disease. Main Outcomes Post-surgical outcomes, including wound medical complications, hospital re-admissions, length inpatient stay (LOS), intensive care unit (ICU) time. Results 793 surgeries included: 8% had G-tubes pre-operatively 25% placed post-operatively. Patients with (pre-operative or post-operative) more likely to have complications prolonged as compared those without (p  Conclusions Though having enteral access in form a at any point suggests high risk patient, period may protect against poor Post-operative outcomes can be predicted based characteristics available physician period.