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
Rok vydání: 2017
Předmět:
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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