Post-thyroidectomy emergency room visits and readmissions: Assessment from the Collaborative Endocrine Surgery Quality Improvement Program (CESQIP)

被引：14

作者：

Taye, Aida ^{[1
]}

Inabnet, William B., III ^{[2
]}

Pan, Stephanie ^{[3
]}

Carty, Sally E. ^{[4
]}

Cotton, Travis ^{[5
]}

Czako, Peter ^{[6
]}

Doherty, Gerard ^{[7
]}

Gauger, Paul ^{[8
]}

Hanks, John ^{[9
]}

McAneny, David ^{[10
]}

Milas, Mira ^{[11
]}

Perrier, Nancy ^{[12
]}

Rosen, Jennifer ^{[13
]}

Schneider, David F. ^{[14
]}

Sharma, Jyotirmay ^{[15
]}

Siperstein, Allan ^{[16
]}

Sosa, Julie Ann ^{[17
]}

机构：

[1] Icahn Sch Med Mt Sinai, Dept Surg, New York, NY 10019 USA

[2] Univ Kentucky, Dept Surg, Lexington, KY USA

[3] Icahn Sch Med Mt Sinai, Dept Populat Hlth Sci & Policy, New York, NY 10019 USA

[4] Univ Pittsburgh, Sch Med, Dept Surg, Med Ctr, Pittsburgh, PA USA

[5] Brown Univ, Univ Surg Associates, Warren Alpert Sch Med, Dept Surg, Providence, RI 02912 USA

[6] Oakland Univ, William Beaumont Sch Med, Dept Surg, Royal Oak Surg Associates, Royal Oak, MI USA

[7] Brigham & Womens Hosp, Harvard Med Sch, Dept Surg, 75 Francis St, Boston, MA 02115 USA

[8] Michigan Med, Dept Surg, Ann Arbor, MI USA

[9] Univ Virginia, Sch Med, Univ Virginia Hlth Syst, Dept Surg, Charlottesville, VA 22908 USA

[10] Boston Univ, Sch Med, Boston Med Ctr, Dept Surg, Boston, MA 02118 USA

[11] Univ Arizona, Banner Univ Med Ctr, Coll Med, Dept Surg, Phoenix, AZ USA

[12] Univ Texas MD Anderson Canc Ctr, Dept Surg Oncol, Houston, TX 77030 USA

[13] MedStar Washington Hosp Ctr, Dept Surg, Washington, DC USA

[14] Univ Wisconsin, Sch Med, Dept Surg, Madison, WI USA

[15] Emory Univ, Sch Med, Dept Surg, Emory Univ Hosp, Atlanta, GA 30322 USA

[16] Cleveland Clin, Dept Surg, Cleveland, OH 44106 USA

[17] Univ Calif San Francisco UCSF, Dept Surg, San Francisco, CA USA

来源：

AMERICAN JOURNAL OF SURGERY | 2020年 / 220卷 / 04期

关键词：

Thyroidectomy; Emergency room visits; Readmissions; Outcomes; Quality; CALCIUM SUPPLEMENTATION; UNITED-STATES; RISK-FACTORS; PARATHYROIDECTOMY; OUTPATIENT; OUTCOMES; COMPLICATIONS; SAFETY; VOLUME; EXPERIENCE;

D O I：

10.1016/j.amjsurg.2020.02.036

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background: This study analyzed independent factors associated with post-thyroidectomy Emergency Room (ER) visits and Hospital Readmissions (HR). Methods: This is a retrospective review from the CESQIP registry of 8381 thyroidectomy patients by 173 surgeons at 46 institutions. A total of 7142 ER visits and 7265 HR were analyzed. Multivariable logistic regression analysis was performed to determine the risk factors for an ER visit or HR. Results: Within 30-days of surgery, rates of all ER visits were 3.4% (n = 250) and all HR were 2.3% (n = 170). Hypocalcemia was the reason for 21.9% of ER encounters and 36.4% of HR. BMI >40 kg/m(2) was a risk factor for both ER visit (OR1.86) and HR (OR1.94). Surgical duration >3 h (OR2.63), and transection of recurrent laryngeal nerve (OR4.58) were risk factors for HR. Conclusions: Strategies to decrease hypocalcemia and improve perioperative care of patients with BMI >40 kg/m(2) may improve post-thyroidectomy outcome. (C) 2020 Elsevier Inc. All rights reserved.

引用

页码：813 / 820

页数：8

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