Causes for 30‐Day Readmission following Transsphenoidal Surgery

Abstract

Overall, the rate of 30-day readmission following endoscopic pituitary surgery is low. However, common causes of readmission do add significant cost to the overall care of this patient population. Special attention to surgical technique to prevent epistaxis and cerebrospinal fluid rhinorrhea, as well as multidisciplinary team management to avoid postoperative endocrine dysfunction, is critical to minimize these complications.

Thirty-Day Hospital Revisit Rates and Factors Associated With Revisits in Patients Undergoing Septorhinoplasty

“…2–10 In 2012, Kassin et al 3 analyzed 1442 patients undergoing general surgical procedures and found a readmission rate of 11.3%. Any postoperative complication had the greatest association with 30-day readmission.…”

“…6–10 The consensus among surgical data is that postsurgical complications are most greatly associated with increased risk of readmission following surgery, but socioeconomic factors and patient comorbidities also have a significant effect. 2–10 However, data on the 30-day revisit rate specifically relating to facial plastic surgical procedures, including septorhinoplasty, are still lacking.…”

Perioperative management in endoscopic endonasal skull‐base surgery: a survey of the North American Skull Base Society

“…Complications after EESBS such as CSF leak can lead to costly readmissions and disrupt patient recovery, yet routine intraoperative practices such as the use of LDs and reconstructive techniques have not yet been standardized. Meta‐analyses have not shown any significant decrease in postoperative CSF leak when an LD was used in routine pituitary surgery .…”

Complications and 30‐day hospital readmission rates of patients undergoing tracheostomy: A prospective analysis

“…The Hospital Readmissions Reduction Program, established through the Affordable Care Act, reduces payments to hospitals with excessive 30‐day readmissions . There have been several publications in the surgical literature exploring factors associated with increased readmission rates, and the consensus among this data is that surgical complications have the greatest association with 30‐day readmissions, but socioeconomic factors and patient comorbidities also have a significant impact . Although we did not find an association between readmission and socioeconomic factors, the presence of an outpatient tracheostomy‐related complication carried the greatest odds of readmission on multivariable analysis.…”