Predictors of 30-day readmission after outpatient thyroidectomy: An analysis of the 2011 NSQIP data set

Nima Khavanin, Alexei Mlodinow, John Y S Kim, Jon P. Ver Halen*, Sandeep Samant

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

21 Scopus citations

Abstract

Purpose With enhancements in patient safety and improvements in anesthesia administration, outpatient thyroidectomy is now frequently undertaken as an outpatient procedure, with several peer-reviewed reports of safe implementation totaling over 4500 procedures since 2006. However, robust statistical analyses of predictors for readmission are lacking. Methods The 2011 NSQIP data set was queried to identify all patients undergoing thyroidectomy on an outpatient basis. Outcomes of interest included surgical and medical complications, reoperation, mortality, and readmission. Univariate and multivariate analyses were utilized to identify the predictors of these events. Results In total 5121 patients were identified to have undergone an outpatient thyroidectomy in 2011. Overall 30-day morbidity was rare with only 47 patients (0.92%) experiencing any perioperative morbidity. One hundred eleven (2.17%) patients were readmitted within 30 days of the operation. A history of COPD was the only preoperative comorbid medical condition that significantly increased a patient's risk for readmission (OR 3.73 95% CI 1.57-8.85, p = 0.003). Patients with a surgical complication were more than 7 times as likely to be readmitted (OR 2.08-25.28, p = 0.002), and those with a medical complication were over 19 times as likely to be readmitted (OR 7.32-50.78, p < 0.001). Conclusions Readmission after outpatient thyroidectomy is infrequent, and compares well with other outpatient procedures. The main identified risks include preoperative COPD and any of the generic postoperative complications tracked in NSQIP. As procedures continue to transition into outpatient settings and financial penalties associated with readmission become a reality, these findings will serve to optimize outpatient surgery utilization.

Original languageEnglish (US)
Pages (from-to)332-339
Number of pages8
JournalAmerican Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume35
Issue number3
DOIs
StatePublished - Jan 1 2014

ASJC Scopus subject areas

  • Otorhinolaryngology

Fingerprint Dive into the research topics of 'Predictors of 30-day readmission after outpatient thyroidectomy: An analysis of the 2011 NSQIP data set'. Together they form a unique fingerprint.

Cite this