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- Title
Hospital readmission and 30-day mortality after surgery for oral cavity cancer: Analysis of 21,681 cases.
- Authors
Luryi, Alexander L.; Chen, Michelle M.; Mehra, Saral; Roman, Sanziana A.; Sosa, Julie A.; Judson, Benjamin L.
- Abstract
Background Oral cavity squamous cell cancer (SCC) is treated primarily with surgery. Rates of 30-day hospital readmission and mortality after surgery for oral cavity SCC are unknown. Methods We conducted a retrospective analysis of postoperative 30-day unplanned readmission and mortality in patients with oral cavity SCC in the National Cancer Data Base (NCDB). Results Among 21,681 cases, the 30-day unplanned readmission rate was 3.2%, and the 30-day mortality rate was 1.0%. Male sex (odds ratio [OR] = 1.23; p = .02), stage T3 (OR = 1.55; p = .007), or T4 (OR = 1.52; p = .002), and neck dissection (OR = 1.37; p = .04) were independently associated with readmission. Age 76 to 85 years (OR = 4.80; p < .001), age >85 years (OR = 10.24; p < .001), comorbidity index ≥1 (OR = 2.31; p < .001), and stage T3 (OR = 3.02; p < .001) or T4 (OR = 3.24; p < .001) were associated with 30-day mortality. Conclusion Interventions aimed at decreasing hospital readmissions should target high-risk patients identified here. Factors associated with 30-day mortality reflect risk factors for overall mortality. © 2015 Wiley Periodicals, Inc. Head Neck 38: E221-E226, 2016
- Subjects
ORAL cancer; SQUAMOUS cell carcinoma; PATIENT readmissions; CANCER-related mortality; ONCOLOGIC surgery
- Publication
Head & Neck, 2016, Vol 38, pE221
- ISSN
1043-3074
- Publication type
Article
- DOI
10.1002/hed.23973