Clinical Indicators of Admission for Pediatric Cochlear Implant Procedures

The Annals of Otology, Rhinology, and Laryngology
Terral A PatelDavid R White

Abstract

A minority of children undergoing cochlear implantation (CI) are admitted overnight postoperatively, but there are little data on prognostic indicators. Our goal is to review national data to identify variables associated with admission and identify effects on outcomes. We analyzed data from the 2012-2015 American College of Surgeons' National Surgical Quality Improvement Program-Pediatric (ACS NSQIP-P) program use files. The CI patients were identified by CPT code. Demographics, comorbidities, anesthesia time, total operation time, 30-day complications, and 30-day readmission were compared between ambulatory and admitted patients. A total of 2943 CI patients were included, with 17.2% of these admitted post implantation. Single variable analysis revealed multiple factors associated with admission post implantation. Multivariable analysis showed patients with asthma were 2.2 times ( P < .001; odds ratio [OR] = 1.484-3.227) and those with structural central nervous system (CNS) abnormalities 2.1 times ( P < .001; OR = 1.584-2.706) more likely to be admitted. Younger age ( P = .002; OR = 0.995-0.999) and longer operation time ( P < .001; OR = 1.003-1.006) were weak predictors. Two hundred sixteen patients lacked any factors but we...Continue Reading

References

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Citations

May 25, 2021·Trends in Hearing·Nicholas L DeepSusan B Waltzman
Mar 13, 2021·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Cynthia M ChweyaMatthew L Carlson
Jul 17, 2021·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Laura S M DerksInge Wegner

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Methods Mentioned

BETA
cochlear implants

Software Mentioned

SPSS

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