TY  - BOOK
AU  - Rosen, Jennifer
TI  - Post-thyroidectomy emergency room visits and readmissions: Assessment from the Collaborative Endocrine Surgery Quality Improvement Program (CESQIP)
SN  - 0002-9610
PY  - 2020///
KW  - *Emergency Service, Hospital/sn [Statistics & Numerical Data]
KW  - *Facilities and Services Utilization/sn [Statistics & Numerical Data]
KW  - *Patient Readmission/sn [Statistics & Numerical Data]
KW  - *Postoperative Complications/ep [Epidemiology]
KW  - *Thyroidectomy
KW  - Adult
KW  - Aged
KW  - Female
KW  - Humans
KW  - Male
KW  - Middle Aged
KW  - Quality Improvement
KW  - Retrospective Studies
KW  - Risk Factors
KW  - United States
KW  - MedStar Washington Hospital Center
KW  - Surgery/Endocrine Surgery
KW  - Journal Article
N2  - 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
UR  - https://dx.doi.org/10.1016/j.amjsurg.2020.02.036
UR  - https://dx.doi.org/10.1016/j.amjsurg.2020.02.036
ER  -