{
    "abstract": "To investigate the hypothesis that day-case cochlear implantation is associated with equal quality of life, hearing benefits and complications rates, compared to inpatient cochlear implantation.\nA single-center, non-blinded, randomized controlled, equivalence trial in a tertiary referral center.\nThirty adult patients with post-lingual bilateral sensorineural hearing loss eligible for unilateral cochlear implantation surgery were randomly assigned to either the day-case or inpatient treatment group. The effect on general quality of life, patient satisfaction, (subjective) hearing improvement, postoperative complications and causes of crossover and/or readmission were assessed using questionnaires, auditory evaluations and patients' charts over a follow-up period of 1 year.\nOverall quality of life measured by the HUI3 was equal between the day-case (n\u2009=\u200914) and inpatient group (n\u2009=\u200914). The overall patients' satisfaction showed a slight favor towards an inpatient approach. There was no significant difference in the subjective and objective hearing improvement between both treatment groups. During the 1-year follow-up period no major complications occurred. Minor complications occurred intraoperatively in three day-case patients resulting in three out of nine admissions of day-case patients. Other causes of admission of day-case patients were nausea and vomiting (n\u2009=\u20091), drowsiness (n\u2009=\u20091), late scheduled surgery (n\u2009=\u20092), social reasons (n\u2009=\u20091), or due to an unclear reason (n\u2009=\u20091). No patients required readmission.\nWe found equal outcomes of QoL, patient satisfaction, objective, and subjective hearing outcomes between day-case and inpatient unilateral cochlear implantation. Nine out of 14 day-case patients were admitted for at least one night postoperatively (crossover). No major complications occurred in both groups. A day-case approach seems feasible when using specific patient selection, surgical planning and the preoperative provision of patient information into account. Besides this, the familiarity with a day-case approach of both patient and the surgical team can increase the feasibility of day-case surgery.",
    "authors": [
        {
            "affiliation": "Department of Otorhinolaryngology - Head and Neck Surgery, University Medical Center Utrecht, G05.129, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands. KNO@umcutrecht.nl.\nBrain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands. KNO@umcutrecht.nl.",
            "firstname": "Laura S M",
            "initials": "LSM",
            "lastname": "Derks"
        },
        {
            "affiliation": "Department of Otorhinolaryngology - Head and Neck Surgery, University Medical Center Utrecht, G05.129, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands.\nBrain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands.",
            "firstname": "Adriana L",
            "initials": "AL",
            "lastname": "Smit"
        },
        {
            "affiliation": "Department of Otorhinolaryngology - Head and Neck Surgery, University Medical Center Utrecht, G05.129, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands.",
            "firstname": "Hans G X M",
            "initials": "HGXM",
            "lastname": "Thomeer"
        },
        {
            "affiliation": "University Department Otorhinolaryngology, Head & Neck Surgery, Antwerp University Hospital, Antwerp, Belgium.\nFaculty of Medicine and Health Sciences, Antwerp University, Antwerp, Belgium.",
            "firstname": "Vedat",
            "initials": "V",
            "lastname": "Topsakal"
        },
        {
            "affiliation": "Jean Causse Ear Clinic, Traverse de B\u00e9ziers, Colombiers, France.",
            "firstname": "Wilko",
            "initials": "W",
            "lastname": "Grolman"
        },
        {
            "affiliation": "Department of Otorhinolaryngology - Head and Neck Surgery, University Medical Center Utrecht, G05.129, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands.\nBrain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands.",
            "firstname": "Robert J",
            "initials": "RJ",
            "lastname": "Stokroos"
        },
        {
            "affiliation": "Department of Otorhinolaryngology - Head and Neck Surgery, University Medical Center Groningen, Groningen, The Netherlands.",
            "firstname": "Inge",
            "initials": "I",
            "lastname": "Wegner"
        }
    ],
    "conclusions": "We found equal outcomes of QoL, patient satisfaction, objective, and subjective hearing outcomes between day-case and inpatient unilateral cochlear implantation. Nine out of 14 day-case patients were admitted for at least one night postoperatively (crossover). No major complications occurred in both groups. A day-case approach seems feasible when using specific patient selection, surgical planning and the preoperative provision of patient information into account. Besides this, the familiarity with a day-case approach of both patient and the surgical team can increase the feasibility of day-case surgery.",
    "copyrights": "\u00a9 2024. The Author(s).",
    "doi": "10.1007/s00405-023-08352-8\n10.1097/01.AUD.0000134549.48718.53\n10.1097/01.AUD.0000134550.80305.04\n10.1097/01.aud.0000233967.11072.24\n10.3310/hta13440\n10.1016/S0194-5998(00)70138-0\n10.1177/0003489418778880\n10.1016/j.ijporl.2016.12.018\n10.1179/146701010X12671177819064\n10.1016/j.ijporl.2010.04.006\n10.1097/MAO.0b013e318278bf58\n10.1017/S0022215106001320\n10.1111/anae.14639\n10.1007/s00405-011-1818-1\n10.1258/002221505774481291\n10.3109/00016480903358261\n10.1001/archoto.2008.504\n10.1136/bmjopen-2016-012219\n10.1136/bmj.c332\n10.1136/bmj.c869\n10.1001/jama.2012.87802\n10.1097/00005650-200202000-00006\n10.1007/BF02260864\n10.1258/0022215001904392\n10.1001/archotol.1996.01890140029007\n10.1001/archotol.1990.01870040046011\n10.1111/coa.12518\n10.1177/000348949610500601\n10.1097/MAO.0000000000003265\n10.1016/j.anorl.2019.09.006\n10.1002/lary.28346",
    "journal": "European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery",
    "keywords": [
        "Admission",
        "Cochlear implantation",
        "Day-case",
        "Inpatient",
        "Patient satisfaction",
        "Quality of life"
    ],
    "methods": null,
    "publication_date": "2024-01-05",
    "pubmed_id": "38180606\n15292774\n15292775\n16957506\n19799825\n10629477\n29852753\n28167021\n21756617\n20483488\n23232831\n11041031\n16716239\n30963557\n17702202\n22042241\n16259650\n19958250\n19075122\n27697874\n20410783\n20332511\n23268518\n11802084\n7613535\n11144832\n8630207\n3191301\n18228680\n2317323\n16910291\n26264703\n8638891\n7668733\n34267096\n31548133\n31643096",
    "results": "Overall quality of life measured by the HUI3 was equal between the day-case (n\u2009=\u200914) and inpatient group (n\u2009=\u200914). The overall patients' satisfaction showed a slight favor towards an inpatient approach. There was no significant difference in the subjective and objective hearing improvement between both treatment groups. During the 1-year follow-up period no major complications occurred. Minor complications occurred intraoperatively in three day-case patients resulting in three out of nine admissions of day-case patients. Other causes of admission of day-case patients were nausea and vomiting (n\u2009=\u20091), drowsiness (n\u2009=\u20091), late scheduled surgery (n\u2009=\u20092), social reasons (n\u2009=\u20091), or due to an unclear reason (n\u2009=\u20091). No patients required readmission.",
    "title": "Quality of life, hearing results, patient satisfaction and postoperative complications of day-case versus inpatient unilateral cochlear implantation in adults: a randomized controlled, equivalence trial.",
    "xml": "<Element 'PubmedArticle' at 0x7885067b5a30>"
}