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- Title
Understanding nationwide readmissions after parotidectomy.
- Authors
Mukdad, Laith; Goel, Alexander N.; Nasser, Hassan B.; St. John, Maie A.
- Abstract
<bold>Objectives: </bold>To evaluate the incidence, causes, risk factors, and costs associated with 30-day readmissions in parotidectomy patients utilizing the Nationwide Readmissions Database (NRD).<bold>Study Design: </bold>Retrospective cohort study.<bold>Methods: </bold>We examined the NRD for patients who underwent parotidectomy between 2010 and 2014. Rates, causes, and costs of 30-day readmissions were determined. Multivariate logistic regression was used to identify risk factors for readmission.<bold>Results: </bold>Among 15,102 included patients, 594 (3.9%) were readmitted within 30 days. The average cost per readmission was $12,502. Infectious (22.7%) and wound (11.2%) complications were the two most common causes of readmission. After controlling for other covariates, significant predictors of readmission included advanced comorbidity (odds ratio [OR], 1.61; 95% confidence interval [CI], 1.09-2.37), a malignant parotid tumor (OR, 2.37; 95% CI, 1.63-3.43), length of stay ≥2 days (OR, 1.54; 95% CI, 1.09-2.18), and nonroutine discharge destinations (home with care [OR, 1.88; 95% CI, 1.27-2.78] and nursing facility [OR, 2.69; 95% CI, 1.55-4.67]).<bold>Conclusion: </bold>In this nationwide database analysis, we found that nearly 4% of all patients undergoing parotidectomy are readmitted within 30 days. Readmissions are commonly due to infections and wound complications. Quality improvement proposals targeting avoidable readmissions should focus on early recognition and prevention of infection and wound complications. Risk factors contributing to readmission include advanced comorbidity, malignant parotid tumor, prolonged index hospitalization, and nonroutine discharge destinations.<bold>Level Of Evidence: </bold>NA Laryngoscope, 130:1212-1217, 2020.
- Subjects
UNITED States; PAROTIDECTOMY; PAROTID gland tumors; ODDS ratio; INFECTION prevention; LOGISTIC regression analysis; LENGTH of stay in hospitals; PATIENT readmissions; PAROTID gland surgery; RETROSPECTIVE studies; COST analysis; PAROTID gland diseases; LONGITUDINAL method
- Publication
Laryngoscope, 2020, Vol 130, Issue 5, p1212
- ISSN
0023-852X
- Publication type
journal article
- DOI
10.1002/lary.28187