Post-thyroidectomy emergency room visits and readmissions: Assessment from the Collaborative Endocrine Surgery Quality Improvement Program (CESQIP).
Citation: American Journal of Surgery. 220(4):813-820, 2020 10.PMID: 32115176Institution: MedStar Washington Hospital CenterDepartment: Surgery/Endocrine SurgeryForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Emergency Service, Hospital/sn [Statistics & Numerical Data] | *Facilities and Services Utilization/sn [Statistics & Numerical Data] | *Patient Readmission/sn [Statistics & Numerical Data] | *Postoperative Complications/ep [Epidemiology] | *Thyroidectomy | Adult | Aged | Female | Humans | Male | Middle Aged | Quality Improvement | Retrospective Studies | Risk Factors | United StatesYear: 2020ISSN:- 0002-9610
Item type | Current library | Collection | Call number | Status | Date due | Barcode |
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Journal Article | MedStar Authors Catalog | Article | 32115176 | Available | 32115176 |
BACKGROUND: This study analyzed independent factors associated with post-thyroidectomy Emergency Room (ER) visits and Hospital Readmissions (HR).
CONCLUSIONS: Strategies to decrease hypocalcemia and improve perioperative care of patients with BMI >40 kg/m2 may improve post-thyroidectomy outcome. Copyright (c) 2020 Elsevier Inc. All rights reserved.
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/m2 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.
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