Safety and Perioperative Adverse Events in Pediatric Endoscopic Sinus Surgery: An ACS-NSQIP-P Analysis
Autor: | Emily F. Boss, Lilun Li, Daniel Rhee, Kris R. Jatana, Rahul K. Shah, Christopher R. Roxbury |
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Rok vydání: | 2017 |
Předmět: |
medicine.medical_specialty
Multivariate analysis business.industry Bleeding requiring transfusion Retrospective cohort study Perioperative Acs nsqip Surgery 03 medical and health sciences Endoscopic sinus surgery Young age 0302 clinical medicine Otorhinolaryngology 030225 pediatrics Immunology and Allergy Medicine 030223 otorhinolaryngology business Adverse effect |
Zdroj: | International Forum of Allergy & Rhinology. 7:827-836 |
ISSN: | 2042-6976 |
DOI: | 10.1002/alr.21954 |
Popis: | Introduction This study describes safety outcomes of pediatric endoscopic sinus surgery (ESS) to identify risk factors for 30-day postoperative adverse events using the National Surgical Quality Improvement Program–Pediatric (NSQIP-P) database. Methods We performed a retrospective cohort study involving patients in the 2012–2015 NSQIP-P database who underwent ESS. Predictors included demographics, comorbidities and surgical acuity. Outcomes included 30-day complications, reoperations, and readmissions. Results Among 2,061 ESS cases identified, 1,829 (88.7%) were elective and 232 (11.3%) were urgent/emergent. There were 92 (4.5%) readmissions, 54 (2.6%) unplanned reoperations, and 61 (3.0%) complications. On multivariate analysis, readmission was associated with urgent/emergent procedures (OR 2.31, CI 1.36-3.93, p |
Databáze: | OpenAIRE |
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