Incidence and Outcomes of Laryngeal Complications Following Adult Cardiac Surgery: A National Analysis
| Autor: | Arjun Verma, Josef Madrigal, Abie H. Mendelsohn, Yu Xia, Joseph Hadaya, Vishal Dobaria, Peyman Benharash, Zachary Tran, Yas Sanaiha |
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| Rok vydání: | 2021 |
| Předmět: |
Speech-Language Pathology & Audiology
Adult medicine.medical_specialty Clinical Sciences Cardiovascular Logistic regression Nationwide Readmissions Database Patient Readmission Speech and Hearing Postoperative Complications Vocal fold paralysis Risk Factors Internal medicine Odds Ratio Medicine Humans Cardiac Surgical Procedures Retrospective Studies business.industry Prevention Incidence (epidemiology) Incidence Gastroenterology Dysphagia Odds ratio Perioperative Cardiac surgery Confidence interval Heart Disease Good Health and Well Being Otorhinolaryngology Laryngeal complications Cohort Female Diagnosis code business |
| Zdroj: | Dysphagia, vol 37, iss 5 |
| ISSN: | 1432-0460 |
| Popis: | Laryngeal complications (LCs) following cardiac operations contribute to increased morbidity and resource utilization. Using a nationally representative cohort of cardiac surgical patients, we characterized the incidence of LC as well as its associated clinical and financial outcomes. All adults undergoing coronary artery bypass grafting and/or valvular operations were identified using the 2010–2017 Nationwide Readmissions Database. International Classification of Diseases 9th and 10th Revision diagnosis codes were used to identify LC. Trends were analyzed using a rank-based, non-parametric test (nptrend). Multivariable linear and logistic regressions were used to evaluate risk factors for LC, and its impact on mortality, complications, resource use and 30-day non-elective readmissions. Of an estimated 2,319,628 patients, 1.7% were diagnosed with perioperative LC, with rising incidence from 1.5% in 2010 to 1.8% in 2017 (nptrend |
| Databáze: | OpenAIRE |
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