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- Title
American College of Surgeons National Surgical Quality Improvement Program assessment of risk factors for 30‐day unplanned readmission in patients undergoing head and neck surgery requiring free tissue reconstruction.
- Authors
Coblens, Orly M.; Brant, Jason A.; Thomas, William W.; Fischer, John P.; Newman, Jason G.; Cannady, Steven B.
- Abstract
Background: Unplanned readmissions have become a metric for measuring quality of care. We analyzed the factors associated with 30‐day unplanned readmission (30dUR) following head and neck cancer resections that included free tissue reconstruction (FTR). Methods: The 2012‐2014 ACS‐National Surgical Quality Improvement Program (NSQIP) data set was queried. Univariate and multivariate logistic regression analyses were performed. Results: Out of 1114 cases, 121 had a 30dUR. The most common reasons were wound complications, including incisional infections, hematoma, and hemorrhage. A significant independent risk factor for 30dUR included a clean/contaminated wound class (odds ratio [OR], 2.27; 95% confidence interval [CI], 1.20‐4.76). Patients receiving an osseous FTR had lower readmission rates (OR, 0.51; CI, 0.27‐0.91). Discharge destination had no statistical significance. Conclusions: Based on the NSQIP data set, 10.9% of patients receiving an FTR for head and neck malignancy had a 30dUR. Although large, population‐based data sets have limitations, these results elucidate that these patients are at an increased risk for unplanned readmissions, which can guide patient expectations and discharge planning.
- Subjects
AMERICAN College of Surgeons; PATIENT readmissions; RISK assessment; LOGISTIC regression analysis; NECK; DISCHARGE planning; FREE flaps
- Publication
Head & Neck, 2020, Vol 42, Issue 2, p230
- ISSN
1043-3074
- Publication type
Article
- DOI
10.1002/hed.25995