Back to Search
Start Over
Predicting Functional Outcomes and Length of Stay Following Acoustic Neuroma Resection
Predicting Functional Outcomes and Length of Stay Following Acoustic Neuroma Resection
- 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.
- Subjects :
- Adult
Male
medicine.medical_specialty
Acoustic neuroma
Length of hospitalization
Walk Test
Sensitivity and Specificity
Resection
Disability Evaluation
03 medical and health sciences
Postoperative Complications
0302 clinical medicine
Humans
Medicine
In patient
Prospective Studies
Mobility Limitation
030223 otorhinolaryngology
Translabyrinthine approach
business.industry
Neuroma, Acoustic
Evidence-based medicine
Length of Stay
Middle Aged
medicine.disease
Middle fossa
Surgery
Treatment Outcome
ROC Curve
Otorhinolaryngology
Area Under Curve
Gait analysis
Preoperative Period
Regression Analysis
Female
Gait Analysis
Otologic Surgical Procedures
business
030217 neurology & neurosurgery
Subjects
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