Examining readmissions following outpatient microlaryngeal surgery

Abstract Objective The objective of this study was to examine readmissions following microlaryngeal surgery. It was hypothesized that airway surgical procedures would have higher rates of readmission. Design Retrospective review. Methods Outpatient microlaryngeal surgeries from May 1, 2018 to Novemb...

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Main Authors: Mausumi N. Syamal, Hope Kincaid, Alison Sutter
Format: Article
Language:English
Published: Wiley 2023-08-01
Series:Laryngoscope Investigative Otolaryngology
Subjects:
Online Access:https://doi.org/10.1002/lio2.1101
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author Mausumi N. Syamal
Hope Kincaid
Alison Sutter
author_facet Mausumi N. Syamal
Hope Kincaid
Alison Sutter
author_sort Mausumi N. Syamal
collection DOAJ
description Abstract Objective The objective of this study was to examine readmissions following microlaryngeal surgery. It was hypothesized that airway surgical procedures would have higher rates of readmission. Design Retrospective review. Methods Outpatient microlaryngeal surgeries from May 1, 2018 to November 27, 2022 were reviewed. Readmissions related to the original surgery within a 30‐day postoperative period were examined. Patient demographics, body mass index, American Society of Anesthesiologist class, comorbidities, type of surgery, ventilation techniques, and operative times were examined and compared. Results Out of 480 procedures analyzed, 19 (4.0%) resulted in a readmission, 9 (1.9%) of which were for glottic stenosis management. Undergoing an airway procedure was significantly associated with a readmission (p = .002) and increased the odds of readmission by 5.99 (95% confidence interval [CI]: 2.22–16.16, p < .001). Current/former smoking status increased the odds of readmission by 4.50 (95% CI: 1.33–15.19, p = .016). Each additional minute of operating time increased the odds of readmission by 1.03 (95% CI: 1.00–1.05, p = .04). Conclusion Readmissions from microlaryngeal surgery are seldom reported but nonetheless occur. Identifying factors that may place a procedure at risk for readmission can help improve surgical quality of care. Level of Evidence 4.
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spelling doaj.art-ab3f90a1760148b98b1a47999efe92e62023-08-23T18:20:18ZengWileyLaryngoscope Investigative Otolaryngology2378-80382023-08-018494695210.1002/lio2.1101Examining readmissions following outpatient microlaryngeal surgeryMausumi N. Syamal0Hope Kincaid1Alison Sutter2Division of Otolaryngology‐Head and Neck Surgery Lehigh Valley Health Network Allentown Pennsylvania USALehigh Valley Health Network Office of Research and Innovation Allentown Pennsylvania USALehigh Valley Health Network Office of Research and Innovation Allentown Pennsylvania USAAbstract Objective The objective of this study was to examine readmissions following microlaryngeal surgery. It was hypothesized that airway surgical procedures would have higher rates of readmission. Design Retrospective review. Methods Outpatient microlaryngeal surgeries from May 1, 2018 to November 27, 2022 were reviewed. Readmissions related to the original surgery within a 30‐day postoperative period were examined. Patient demographics, body mass index, American Society of Anesthesiologist class, comorbidities, type of surgery, ventilation techniques, and operative times were examined and compared. Results Out of 480 procedures analyzed, 19 (4.0%) resulted in a readmission, 9 (1.9%) of which were for glottic stenosis management. Undergoing an airway procedure was significantly associated with a readmission (p = .002) and increased the odds of readmission by 5.99 (95% confidence interval [CI]: 2.22–16.16, p < .001). Current/former smoking status increased the odds of readmission by 4.50 (95% CI: 1.33–15.19, p = .016). Each additional minute of operating time increased the odds of readmission by 1.03 (95% CI: 1.00–1.05, p = .04). Conclusion Readmissions from microlaryngeal surgery are seldom reported but nonetheless occur. Identifying factors that may place a procedure at risk for readmission can help improve surgical quality of care. Level of Evidence 4.https://doi.org/10.1002/lio2.1101microlaryngeal surgeryoutpatientreadmissionsventilation
spellingShingle Mausumi N. Syamal
Hope Kincaid
Alison Sutter
Examining readmissions following outpatient microlaryngeal surgery
Laryngoscope Investigative Otolaryngology
microlaryngeal surgery
outpatient
readmissions
ventilation
title Examining readmissions following outpatient microlaryngeal surgery
title_full Examining readmissions following outpatient microlaryngeal surgery
title_fullStr Examining readmissions following outpatient microlaryngeal surgery
title_full_unstemmed Examining readmissions following outpatient microlaryngeal surgery
title_short Examining readmissions following outpatient microlaryngeal surgery
title_sort examining readmissions following outpatient microlaryngeal surgery
topic microlaryngeal surgery
outpatient
readmissions
ventilation
url https://doi.org/10.1002/lio2.1101
work_keys_str_mv AT mausuminsyamal examiningreadmissionsfollowingoutpatientmicrolaryngealsurgery
AT hopekincaid examiningreadmissionsfollowingoutpatientmicrolaryngealsurgery
AT alisonsutter examiningreadmissionsfollowingoutpatientmicrolaryngealsurgery