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

doi:10.1016/j.amjsurg.2020.02.036

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 journal › Article › peer-review

14 Scopus citations

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 language	English
Pages (from-to)	813-820
Number of pages	8
Journal	American Journal of Surgery
Volume	220
Issue number	4
DOIs	https://doi.org/10.1016/j.amjsurg.2020.02.036
State	Published - Oct 2020

Bibliographical note

Publisher Copyright:
© 2020 Elsevier Inc.

Funding

Julie Ann Sosa is a member of the Data Monitoring Committee of the Medullary Thyroid Cancer Consortium Registry supported by GlaxoSmithKline, Novo Nordisk, Astra Zeneca and Eli Lilly.

Funders	Funder number
Eli Lilly and Company
GlaxoSmithKline
Novo Nordisk A/S

Keywords

Emergency room visits
Outcomes
Quality
Readmissions
Thyroidectomy

ASJC Scopus subject areas

Surgery

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10.1016/j.amjsurg.2020.02.036

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. (2020). Post-thyroidectomy emergency room visits and readmissions: Assessment from the Collaborative Endocrine Surgery Quality Improvement Program (CESQIP). American Journal of Surgery, 220(4), 813-820. https://doi.org/10.1016/j.amjsurg.2020.02.036

@article{e0c4b5fd5cb3471f8927b407520d46ee,

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

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.",

keywords = "Emergency room visits, Outcomes, Quality, Readmissions, Thyroidectomy",

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

note = "Publisher Copyright: {\textcopyright} 2020 Elsevier Inc.",

year = "2020",

month = oct,

doi = "10.1016/j.amjsurg.2020.02.036",

language = "English",

volume = "220",

pages = "813--820",

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Taye, A, Inabnet, WB, Pan, S, Carty, SE, Cotton, T, Czako, P, Doherty, G, Gauger, P, Hanks, J, McAneny, D, Milas, M, Perrier, N, Rosen, J, Schneider, DF, Sharma, J, Siperstein, A & Sosa, JA 2020, 'Post-thyroidectomy emergency room visits and readmissions: Assessment from the Collaborative Endocrine Surgery Quality Improvement Program (CESQIP)', American Journal of Surgery, vol. 220, no. 4, pp. 813-820. https://doi.org/10.1016/j.amjsurg.2020.02.036

TY - JOUR

T1 - Post-thyroidectomy emergency room visits and readmissions

T2 - Assessment from the Collaborative Endocrine Surgery Quality Improvement Program (CESQIP)

AU - Taye, Aida

AU - Inabnet, William B.

AU - Pan, Stephanie

AU - Carty, Sally E.

AU - Cotton, Travis

AU - Czako, Peter

AU - Doherty, Gerard

AU - Gauger, Paul

AU - Hanks, John

AU - McAneny, David

AU - Milas, Mira

AU - Perrier, Nancy

AU - Rosen, Jennifer

AU - Schneider, David F.

AU - Sharma, Jyotirmay

AU - Siperstein, Allan

AU - Sosa, Julie Ann

PY - 2020/10

Y1 - 2020/10

N2 - 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.

AB - 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.

KW - Emergency room visits

KW - Outcomes

KW - Quality

KW - Readmissions

KW - Thyroidectomy

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DO - 10.1016/j.amjsurg.2020.02.036

M3 - Article

C2 - 32115176

AN - SCOPUS:85080027098

SN - 0002-9610

VL - 220

SP - 813

EP - 820

JO - American Journal of Surgery

JF - American Journal of Surgery

IS - 4

ER -

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

Abstract

Bibliographical note

Funding

Keywords

ASJC Scopus subject areas

Access to Document

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