Your browser doesn't support javascript.
loading
Safety of thyroidectomy in hospitalized patients: A descriptive analysis of the NSQIP thyroidectomy-targeted data.
Taylor, George A; Green, Rebecca L; Raman, Swathi; Kling, Sarah M; Fagenson, Alexander M; Zhao, Huaqing; Kuo, Lindsay E.
Afiliación
  • Taylor GA; Department of Surgery, Temple University Hospital, Philadelphia, PA, 19140, USA.
  • Green RL; Department of Surgery, Temple University Hospital, Philadelphia, PA, 19140, USA.
  • Raman S; Lewis Katz School of Medicine at Temple University, Philadelphia, PA, 19140, USA.
  • Kling SM; Department of Surgery, Temple University Hospital, Philadelphia, PA, 19140, USA.
  • Fagenson AM; Division of Transplant Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, 10029, USA.
  • Zhao H; Lewis Katz School of Medicine at Temple University, Philadelphia, PA, 19140, USA.
  • Kuo LE; Department of Surgery, Temple University Hospital, Philadelphia, PA, 19140, USA; Lewis Katz School of Medicine at Temple University, Philadelphia, PA, 19140, USA. Electronic address: Lindsay.kuo@tuhs.temple.edu.
Am J Surg ; : 115854, 2024 Jul 19.
Article en En | MEDLINE | ID: mdl-39107177
ABSTRACT

BACKGROUND:

Some patients undergo thyroidectomy while hospitalized for a related or independent indication. Outcomes have not been described in this group.

METHODS:

The 2016-2018 thyroidectomy-targeted NSQIP datasets were queried for patients admitted for ≥1 day preoperatively. 11 propensity score matching was employed to compare the outcomes of admitted patients to outpatients, including surgical and thyroidectomy-specific outcomes. Multivariable logistic regression determined factors associated with poor outcomes.

RESULTS:

Of 18,078 patients, 312 were admitted at least 1 day prior to surgery. Inpatients had higher ASA classifications and rates of several comorbidities compared to the general population. After propensity score matching, inpatients had higher rates of overall complications, unplanned reoperation, and bleeding. They also experienced higher rates of thyroidectomy-specific complications such as hypocalcemia and neck hematoma. By multivariable regression, admission prior to surgery was associated with development of any complications.

CONCLUSION:

Thyroidectomy in hospitalized patients carries an increased risk of complications. Patients requiring thyroidectomy while already hospitalized should be counseled accordingly.
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Am J Surg Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Am J Surg Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos