Journal article
Presentation and Outcomes of Elderly Patients Undergoing Head and Neck Surgeries: A National Perspective
Otolaryngology-head and neck surgery, Vol.163(2), pp.335-343
08/01/2020
DOI: 10.1177/0194599820911727
PMID: 32204652
Abstract
Objectives
To examine clinical profile and outcomes of elderly patients (65-90 years) undergoing head and neck surgeries in the United States.
Study Design
A retrospective cross-sectional analysis.
Setting
The Nationwide Readmissions Database, 2010 to 2015.
Subjects and Methods
Adult (>= 18 years) patients who underwent head and neck surgeries. Analysis included chi(2) test and logistic analysis.
Results
A total of 113,602 and 32,580 patients <65 and >= 65 years old, respectively, were included. Patients >= 65 years old were more likely to have multiple comorbidities (62.8% vs 32.6%, P < .001) and to present with head and neck cancer (19.8% vs 11.4%, P < .001). The most common comorbidity was diabetes (21.0%). The most common cancer types by site were mouth (29.12%), thyroid (28.08%), and nonmelanoma skin cancer (13.22%). The percentage of geriatric patients who underwent head and neck surgeries increased from 21.8% in 2010 to 25.0% in 2015 (P < .001). A total of 5450 (16.85%) patients developed postoperative complications, and the most common complications were pulmonary related (10.55%), bleeding (6.96%), acute renal failure (6.01%), and infection (3.97%). Blood transfusion was required in 3.53% of the patients. Readmission prevalence was 0.32%, and mortality risk was twice as likely (odds ratio, 2.05; 95% confidence interval, 1.77-2.38; P < .001). Independent risk factors of mortality were older age, multiple comorbidities, type of surgery, blood transfusion, and tracheostomy (P < .05, each).
Conclusion
Elderly patients currently represent 25% of patients admitted for head and neck surgery. This population should be provided with a different level of care due to a higher risk of complications and mortality.
Details
- Title: Subtitle
- Presentation and Outcomes of Elderly Patients Undergoing Head and Neck Surgeries: A National Perspective
- Creators
- Zaid Al-Qurayshi - University of Iowa Hospitals and ClinicsChristopher Blake Sullivan - University of IowaAdam Schwalje - University of IowaJarrett Walsh - University of Iowa Hospitals and ClinicsRodrigo Bayon - University of Iowa Hospitals and ClinicsRalph Tufano - Johns Hopkins MedicineEmad Kandil - Tulane University
- Resource Type
- Journal article
- Publication Details
- Otolaryngology-head and neck surgery, Vol.163(2), pp.335-343
- Publisher
- Sage
- DOI
- 10.1177/0194599820911727
- PMID
- 32204652
- ISSN
- 0194-5998
- eISSN
- 1097-6817
- Number of pages
- 9
- Grant note
- 5T32DC000040 / Institutional National Research Award: T32 from the National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA
- Language
- English
- Date published
- 08/01/2020
- Academic Unit
- Otolaryngology
- Record Identifier
- 9984312245102771
Metrics
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