Journal article
Prevalence and impact of complications on outcomes in patients hospitalized for oral and oropharyngeal cancer treatment
Oral surgery, oral medicine, oral pathology, oral radiology and endodontics, Vol.112(5), pp.581-591
2011
DOI: 10.1016/j.tripleo.2011.06.032
PMID: 22035652
Abstract
We studied the association between presence of complications and hospitalization outcomes, including hospital charges, length of stay in hospital, and in-hospital mortality.
The Nationwide Inpatient Sample for 2008 was used. All hospital discharges with a primary diagnosis of oral and oropharyngeal cancers were selected. Presence of complications was determined by using ICD-9-CM codes. The association between the presence of complications and outcomes (hospital charges, length of stay, and in-hospital mortality) was examined by multivariable linear and multivariable logistic regression analyses. The effects of several patient- and hospital-related confounders were adjusted in the regression analyses.
A total of 17,632 hospitalizations were attributed to oral and oropharyngeal cancers. A total of 519 (2.9%) patients died in the hospitals. The total hospitalization charges were close to $1.08 billion. Oral and oropharyngeal cancers accounted for 117,472 hospitalization days (mean length of stay 6.6 days). The overall complication rate was 14.95%. The most frequently present complication was hemorrhagic complications. Among the different complications, septicemia was associated with the worst outcomes. Patients with septicemia were associated with the highest odds for in-hospital mortality (OR = 13.06, 95% CI = 3.81-48.50,
P = .0001).
Presence of complications was associated with poor outcomes, such as high in-hospital mortality rates, excess hospitalization charges, and longer length of stay in hospital. Among the different complications, septicemia was associated with the worst outcomes.
Details
- Title: Subtitle
- Prevalence and impact of complications on outcomes in patients hospitalized for oral and oropharyngeal cancer treatment
- Creators
- Min Kyeong Lee - Orthodontic Resident, Department of Developmental Biology, Harvard School of Dental Medicine, Boston, MARomesh P Nalliah - Senior Tutor and Instructor, Department of Restorative Dentistry and Biomaterials Sciences, Harvard School of Dental Medicine, Boston, MAMin Kyeong Kim - DMD Student, Harvard School of Dental Medicine, Boston, MASatheesh Elangovan - Assistant Professor, Department of Periodontics, the University of Iowa, Iowa City, IAVeeratrishul Allareddy - Clinical Assistant Professor, Department of Oral Pathology, Radiology, and Medicine, the University of Iowa, Iowa City, IAPraveen Kumar-Gajendrareddy - Associate Professor, Department of Periodontics, University of Illinois, Chicago, ILVeerasathpurush Allareddy - Instructor, Department of Developmental Biology, Harvard School of Dental Medicine, Boston, MA
- Resource Type
- Journal article
- Publication Details
- Oral surgery, oral medicine, oral pathology, oral radiology and endodontics, Vol.112(5), pp.581-591
- Publisher
- Mosby, Inc
- DOI
- 10.1016/j.tripleo.2011.06.032
- PMID
- 22035652
- ISSN
- 1079-2104
- eISSN
- 1528-395X
- Language
- English
- Date published
- 2011
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Radiology; Oral Pathology, Radiology and Medicine; Pharmaceutical Sciences and Experimental Therapeutics; Periodontics
- Record Identifier
- 9984065994602771
Metrics
11 Record Views