Post-thyroidectomy emergency room visits and readmissions: Assessment from the Collaborative Endocrine Surgery Quality Improvement Program (CESQIP). 

 -  2020 
<br/><br/> BACKGROUND: This study analyzed independent factors associated with post-thyroidectomy Emergency Room (ER) visits and Hospital Readmissions (HR).  CONCLUSIONS: Strategies to decrease hypocalcemia and improve perioperative care of patients with BMI >40 kg/m2 may improve post-thyroidectomy outcome. Copyright (c) 2020 Elsevier Inc. All rights reserved.  METHODS: This is a retrospective review from the CESQIP registry of 8381 thyroidectomy patients by 173 surgeons at 46 institutions. A total of 7142 ER visits and 7265 HR were analyzed. Multivariable logistic regression analysis was performed to determine the risk factors for an ER visit or HR.  RESULTS: Within 30-days of surgery, rates of all ER visits were 3.4% (n = 250) and all HR were 2.3% (n = 170). Hypocalcemia was the reason for 21.9% of ER encounters and 36.4% of HR. BMI >40 kg/m2 was a risk factor for both ER visit (OR1.86) and HR (OR1.94). Surgical duration >3 h (OR2.63), and transection of recurrent laryngeal nerve (OR4.58) were risk factors for HR. 
<br/><br/><br/>English 
<br/><br/><label>ISSN: </label>0002-9610 
<br/><br/><label>Subjects--Topical Terms: </label><br/>*Emergency Service, Hospital/sn [Statistics & Numerical Data]<br/>*Facilities and Services Utilization/sn [Statistics & Numerical Data]<br/>*Patient Readmission/sn [Statistics & Numerical Data]<br/>*Postoperative Complications/ep [Epidemiology]<br/>*Thyroidectomy<br/>Adult<br/>Aged<br/>Female<br/>Humans<br/>Male<br/>Middle Aged<br/>Quality Improvement<br/>Retrospective Studies<br/>Risk Factors<br/>United States
<br/><br/><label>Subjects--Geographic Terms: </label><br/>MedStar Washington Hospital Center
<br/><br/><label>Index Terms--Occupation: </label><br/>Surgery/Endocrine Surgery
<br/><br/><label>Index Terms--Function: </label><br/>Journal Article