Early ambulation after fibular free flap surgery is associated with reduced length of stay, increased mobility independence, and discharge to home
© 2024 The Authors. Head & Neck published by Wiley Periodicals LLC..
BACKGROUND: Fibula free flaps (FFF) are one of the most common bony flaps utilized. This paper describes a quality improvement project aimed at increasing early ambulation.
METHODS: A review of FFF patients at an academic hospital was completed (2014-2023). In 2018, an institutional change to encourage early ambulation without placement of a boot was made. Changes in hospital disposition and physical therapy outcomes were evaluated.
RESULTS: A total of 168 patients underwent FFF reconstruction. There was a statistically significant lower length of stay in Group 2 (early ambulation, no boot) (8.1 vs. 9.4; p = 0.04). A higher rate of discharge to a skilled nursing facility was noted in Group 1 (delayed ambulation with boot) (21.3% vs. 11.9%; p = 0.009). A higher proportion of patients in Group 2 demonstrated independence during bed mobility, transfers, and gait (p < 0.05).
CONCLUSIONS: Early ambulation without boot placement after FFF is associated with decreased length of hospital stay, improved disposition to home and physical therapy outcomes.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:46 |
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| Enthalten in: |
Head & neck - 46(2024), 5 vom: 17. Apr., Seite 1160-1167 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
McCrary, Hilary C [VerfasserIn] |
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| Links: |
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| Themen: |
Fibula free flap |
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| Anmerkungen: |
Date Completed 10.04.2024 Date Revised 10.04.2024 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1002/hed.27737 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM369846036 |
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| 245 | 1 | 0 | |a Early ambulation after fibular free flap surgery is associated with reduced length of stay, increased mobility independence, and discharge to home |
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| 500 | |a Date Revised 10.04.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2024 The Authors. Head & Neck published by Wiley Periodicals LLC. | ||
| 520 | |a BACKGROUND: Fibula free flaps (FFF) are one of the most common bony flaps utilized. This paper describes a quality improvement project aimed at increasing early ambulation | ||
| 520 | |a METHODS: A review of FFF patients at an academic hospital was completed (2014-2023). In 2018, an institutional change to encourage early ambulation without placement of a boot was made. Changes in hospital disposition and physical therapy outcomes were evaluated | ||
| 520 | |a RESULTS: A total of 168 patients underwent FFF reconstruction. There was a statistically significant lower length of stay in Group 2 (early ambulation, no boot) (8.1 vs. 9.4; p = 0.04). A higher rate of discharge to a skilled nursing facility was noted in Group 1 (delayed ambulation with boot) (21.3% vs. 11.9%; p = 0.009). A higher proportion of patients in Group 2 demonstrated independence during bed mobility, transfers, and gait (p < 0.05) | ||
| 520 | |a CONCLUSIONS: Early ambulation without boot placement after FFF is associated with decreased length of hospital stay, improved disposition to home and physical therapy outcomes | ||
| 650 | 4 | |a Review | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a fibula free flap | |
| 650 | 4 | |a head and neck reconstruction | |
| 650 | 4 | |a length of stay | |
| 650 | 4 | |a physical therapy | |
| 650 | 4 | |a quality improvement | |
| 700 | 1 | |a Dunklebarger, Mitchell F |e verfasserin |4 aut | |
| 700 | 1 | |a Fechter, Brett J |e verfasserin |4 aut | |
| 700 | 1 | |a Drejet, Sarah M |e verfasserin |4 aut | |
| 700 | 1 | |a Monroe, Marcus M |e verfasserin |4 aut | |
| 700 | 1 | |a Buchmann, Luke O |e verfasserin |4 aut | |
| 700 | 1 | |a Hunt, Jason P |e verfasserin |4 aut | |
| 700 | 1 | |a Cannon, Richard B |e verfasserin |4 aut | |
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