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Predicting Functional Outcomes and Length of Stay Following Acoustic Neuroma Resection

Predicting Functional Outcomes and Length of Stay Following Acoustic Neuroma Resection

Authors :
Joe Saliba
Pasha Mehranpour
Rick A. Friedman
Mihir Gupta
Marc S. Schwartz
Yin Ren
Omid Moshtaghi
Kareem O. Tawfik
Source :
The Laryngoscope. 131:644-648
Publication Year :
2020
Publisher :
Wiley, 2020.

Abstract

To examine whether simple mobility assessments can predict functional limitations and length of hospitalization after acoustic neuroma (AN) resection.Prospective case series.A prospective clinical study of adult patients undergoing AN resection by either the translabyrinthine, retrosigmoid, or middle fossa approach was conducted at a tertiary center. Preoperative mobility assessments included the functional gait assessment (FGA) and the 10-m walk (10 MW). Postoperatively, the Activity Measure for Post-Acute Care (AMPAC, at 48 hours), FGA, and 10 MW (at 1 week) were obtained. Demographic and medical data were collected.One hundred and thirty-eight patients were analyzed (mean age: 48.3 years, 68.8% female). Mean length of stay (LOS) was 3.1 days. The translabyrinthine approach was most commonly performed (48.6%). On regression analyses, preoperative FGA (P = 0.03) and 48-hour postoperative AM-PAC (P 0.001) independently predicted LOS, even after accounting for age, gender, body mass index, and tumor size. On receiver operating characteristic analysis, a preoperative FGA cut score of 25.5 predicted a protracted hospital stay (4 days) with a sensitivity of 77% and specificity of 50% (area under curve: 68.5).This study demonstrated that preoperative mobility assessments can predict functional limitations and LOS after AN resection. These objective tools can be used by clinicians to manage expectations and guide preoperative counseling in patients considering surgery.3 Laryngoscope, 131:644-648, 2021.

Details

ISSN :
15314995 and 0023852X
Volume :
131
Database :
OpenAIRE
Journal :
The Laryngoscope
Accession number :
edsair.doi.dedup.....33edc26ed1efc52b9d6ac6c375d0e552
Full Text :
https://doi.org/10.1002/lary.28910