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

Aida Taye, William B. Inabnet, Stephanie Pan, Sally E. Carty, Travis Cotton, Peter Czako, Gerard Doherty, Paul Gauger, John Hanks, David McAneny, Mira Milas, Nancy Perrier, Jennifer Rosen, David F. Schneider, Jyotirmay Sharma, Allan Siperstein, Julie Ann Sosa

    Research output: Contribution to journalArticle

    Abstract

    Background: This study analyzed independent factors associated with post-thyroidectomy Emergency Room (ER) visits and Hospital Readmissions (HR). 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. Conclusions: Strategies to decrease hypocalcemia and improve perioperative care of patients with BMI >40 kg/m2 may improve post-thyroidectomy outcome.

    Original languageEnglish (US)
    JournalAmerican journal of surgery
    DOIs
    StateAccepted/In press - Jan 1 2020

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    Keywords

    • Emergency room visits
    • Outcomes
    • Quality
    • Readmissions
    • Thyroidectomy

    ASJC Scopus subject areas

    • Surgery

    Cite this

    Taye, A., Inabnet, W. B., Pan, S., Carty, S. E., Cotton, T., Czako, P., Doherty, G., Gauger, P., Hanks, J., McAneny, D., Milas, M., Perrier, N., Rosen, J., Schneider, D. F., Sharma, J., Siperstein, A., & Sosa, J. A. (Accepted/In press). Post-thyroidectomy emergency room visits and readmissions: Assessment from the Collaborative Endocrine Surgery Quality Improvement Program (CESQIP). American journal of surgery. https://doi.org/10.1016/j.amjsurg.2020.02.036