Rates and causes of 30-day readmission and emergency room utilization following head and neck surgery

Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale
Vincent Wu, Stephen F Hall

Abstract

Unplanned returns to hospital are common, costly, and potentially avoidable. We aimed to investigate and characterize reasons for all-cause readmissions to hospital as in-patients (IPs) and visits to the Emergency Department (ED) within 30-days following patient discharge post head and neck surgery (HNS). Retrospective case series with chart review. All patients within the Department of Otolaryngology - Head and Neck Surgery who underwent HNS for benign and malignant disease from January 1, 2010 to May 31, 2015 were identified. The electronic medical records of readmitted patients were reviewed for reasons of readmission, demographic data, and comorbidities. Following 1281 surgical cases, there were 41 (3.20%) IP readmissions and 109 (8.43%) ED visits within 30-days after discharge for HNS. For IP readmissions, most common causes included infection (26.8%), respiratory symptoms (17.1%), and pain (17.1%). Most common reasons for ED visits were for pain (31.5%), bleeding (17.6%), and infection (14.8%). Readmitted IPs had significantly higher health burden at pre-operative baseline as compared to patients who visited the ED when assessed with the American Society of Anesthesiology scores (p = 0.002) and the Cumulative Illness Rati...Continue Reading

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Citations

May 8, 2019·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Swathi AppachiEric Lamarre
Jun 3, 2020·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Albert Y HanMaie A St John
Jun 23, 2020·The Annals of Otology, Rhinology, and Laryngology·Mitali ShahKarthik Rajasekaran
Feb 13, 2020·Canadian Journal of Public Health = Revue Canadienne De Santé Publique·Binu JacobAngela Colantonio
Jan 12, 2021·International Journal of Pediatric Otorhinolaryngology·Alisse SingerAlisha West
Apr 7, 2021·Laryngo- rhino- otologie·Thomas DeitmerStefan Dazert
Jun 26, 2021·American Journal of Otolaryngology·R PucciaJ Zenga

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