Adult ambulatory otologic surgery: Unplanned revisits and complications.
Ambulatory Care Facilities
/ statistics & numerical data
Ambulatory Surgical Procedures
/ adverse effects
Cross-Sectional Studies
Female
Follow-Up Studies
Humans
Incidence
Male
Middle Aged
Otologic Surgical Procedures
/ adverse effects
Patient Readmission
/ trends
Postoperative Complications
/ epidemiology
Retrospective Studies
United States
/ epidemiology
Otology
ambulatory surgery
complications
revisits
Journal
The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378
Informations de publication
Date de publication:
07 2020
07 2020
Historique:
received:
28
05
2019
revised:
14
09
2019
accepted:
17
09
2019
pubmed:
24
10
2019
medline:
21
10
2020
entrez:
24
10
2019
Statut:
ppublish
Résumé
Determine rates and reasons for unplanned revisits after ambulatory otologic surgery. Cross-sectional analysis of State Ambulatory Surgery Databases of California, Florida, Iowa, and New York was performed for years 2010 and 2011. Ambulatory adult otology surgical procedures were linked to ambulatory, emergency, and inpatient databases for revisit encounters occurring within 30 days. The numbers of revisits and associated diagnoses were analyzed. A total of 16,709 ambulatory otologic cases were extracted (mean age, 50.3 years; 54.2% female). The most common primary procedures performed were tympanoplasty (n = 7,919), stapedectomy (n = 2504), cochlear implantation (n = 1444), tympanomastoidectomy (n = 713), and mastoidectomy (n = 697). The 30-day revisit rate was 5.2% (n = 875; 95% confidence interval [CI] 4.9%-5.6%). Urinary retention/urinary tract infection (UTI) (n = 93, 10.6%; CI 8.8%-12.9%) was the most common diagnosis at revisit, followed by otalgia (n = 85, 9.7% of revisits; CI: 7.9%-11.9%) and dizziness (n = 80, 9.1%; CI 7.4%-11.2%). Revisits most frequently occurred within the first 10 days postoperatively (47.2% of revisits), and a second revisit occurred 134 times (0.8% of cases). Fewer than 10 cases of facial nerve palsy were diagnosed (CI 0.03%-0.11%). With a relatively low unplanned revisit rate, ambulatory otologic surgery demonstrates a favorable safety profile. Common reasons for revisit included pain, urinary retention, and dizziness. Quality improvement measures should be directed at addressing these postoperative issues to minimize rates of complications and unplanned revisits. NA Laryngoscope, 130:1788-1791, 2020.
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
1788-1791Informations de copyright
© 2019 The American Laryngological, Rhinological and Otological Society, Inc.
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