Causes of Emergency Department Visits Following Thyroid and Parathyroid Surgery

Young, William G.; Succar, Eric; Hsu, Linda; Talpos, Gary B.; Ghanem, Tamer

doi:10.1001/jamaoto.2013.4505

Cited by 24 publications

(15 citation statements)

References 30 publications

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“…Literature surrounding ED utilization have mainly focused on specific procedures, not HNS as a whole. One study reported ED utilization after thyroidectomy and parathyroidectomy to be 11.22%, with common causes being paresthesia and wound complications [ 23 ]. Within our cohort, we noted an ED utilization rate of 8.43%, with the most common cause due to pain.…”

Section: Discussionmentioning

confidence: 99%

Rates and causes of 30-day readmission and emergency room utilization following head and neck surgery

Hall

2018

J of Otolaryngol - Head & Neck Surg

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BackgroundUnplanned returns to hospital are common, costly, and potentially avoidable. We aimed to investigate and characterize reasons for all-cause readmissions to hospital as in-patients (IPs) and visits to the Emergency Department (ED) within 30-days following patient discharge post head and neck surgery (HNS).MethodsRetrospective case series with chart review. All patients within the Department of Otolaryngology – Head and Neck Surgery who underwent HNS for benign and malignant disease from January 1, 2010 to May 31, 2015 were identified. The electronic medical records of readmitted patients were reviewed for reasons of readmission, demographic data, and comorbidities.ResultsFollowing 1281 surgical cases, there were 41 (3.20%) IP readmissions and 109 (8.43%) ED visits within 30-days after discharge for HNS. For IP readmissions, most common causes included infection (26.8%), respiratory symptoms (17.1%), and pain (17.1%). Most common reasons for ED visits were for pain (31.5%), bleeding (17.6%), and infection (14.8%). Readmitted IPs had significantly higher health burden at pre-operative baseline as compared to patients who visited the ED when assessed with the American Society of Anesthesiology scores (p = 0.002) and the Cumulative Illness Rating Scale (p = 0.004).ConclusionRate of 30-day IP readmission and ED utilization was 3.20 and 8.43%, respectively. Pain and infection were common causes for returns to hospital. Discharge planning may be improved to target common causes for post-surgical hospital visits in order to decrease readmission rates.

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Section: Discussionmentioning

confidence: 99%

Rates and causes of 30-day readmission and emergency room utilization following head and neck surgery

Hall

2018

J of Otolaryngol - Head & Neck Surg

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“…Postoperative complications are a frequent reason for otolaryngology patients to present to the emergency department . Young et al reviewed 30dEDRs in patients who underwent thyroidectomy or parathyroidectomy. They reported a 30dEDR rate of 11% with the most common reasons including electrolyte abnormalities (48%), hypertension (13%), and dehydration (5%).…”

Section: Discussionmentioning

confidence: 99%

Predictors of returns to the emergency department after head and neck surgery

et al. 2017

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“…A recent national audit performed in England revealed a postthyroidectomy hypocalcemia rate of 25%, recurrent laryngeal nerve injury rate of 2.3%, and a readmission rate of 2.5%, 17 similar to our finding and those of 3 other studies. [18][19][20] Although previous studies have evaluated risk factors for readmission after cervical endocrine surgery, this study is the first to operationalize risk factors into an easy-to-use risk score. Initially, using a traditional multivariable logistic regression, we identified numerous predictive factors.…”

Section: Discussionmentioning

confidence: 99%