Retained foreign bodies: risk and outcomes at the national level

Journal of the American College of Surgeons
Zaid H Al-QurayshiEmad Kandil

Abstract

Retained foreign bodies (RFB) after operative interventions are linked to an increased risk of morbidity and mortality, and represent a medico-legal liability. We aimed to identify associated risk factors and outcomes related to iatrogenic RFB in the United States. A cross-sectional analysis was performed on all interventions that resulted in a secondary diagnosis of RFB in the Nationwide Inpatient Sample (NIS) from 2003 to 2009. Comparative controls were randomly selected from patients who underwent similar procedures. We identified 3,045 cases of RFB, and 12,592 controls were included. The majority of incidents, 968 (31.8%), were reported after gastrointestinal interventions. Risk of RFB was higher in teaching hospitals (odds ratio [OR] 1.31, 95% CI [1.19, 1.45], p < 0.001). For abdominopelvic procedures, patients admitted with traumatic injuries did not demonstrate a higher risk of RFB compared with electively admitted patients (OR 1.70, 95% CI [0.94, 3.07], p = 0.08). However, for procedures unrelated to abdominopelvic surgery, patients admitted for trauma had a lower risk (OR 0.62, 95% CI [0.50, 0.78], p < 0.001). Obesity (BMI ≥ 30 kg/m(2)) and older age (≥ 65 years) were significantly associated with a higher risk only fo...Continue Reading

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Citations

Nov 20, 2018·JAMA Otolaryngology-- Head & Neck Surgery·Brandon J KimMichael M Johns
Nov 21, 2020·Clinical Practice and Cases in Emergency Medicine·Blake BriggsHenderson D McGinnis
Jun 17, 2021·The American Surgeon·Arjun VermaPeyman Benharash
Jul 14, 2021·Patient Safety in Surgery·Samuel WeprinRiccardo Autorino

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