Journal article
Venous thromboembolism in head and neck surgery: Risk, outcome, and burden at the national level
Head & neck, Vol.41(2), pp.411-422
02/2019
DOI: 10.1002/hed.25409
PMID: 30536494
Abstract
Venous thromboembolism (VTE) can complicate major surgeries. This study examines the risk and outcomes of VTE in patients who underwent head and neck surgeries.
Retrospective cross-sectional analysis utilizing the Nationwide Readmissions Database (2010-2014). Study population included adults (≥18 year) patients who underwent head and neck surgeries.
A total 386 VTE patients and 116 450 controls included. VTE risk was 0.37%, postoperative mortality was 4.87%. Of VTE, 57.02% identified within the initial admission for surgery, while the rest required readmission within 90 days. VTE high-risk surgeries included: major ear/skull base surgeries, major nose/paranasal sinuses surgeries, major mouth/tonsil surgeries, major salivary glands/ducts surgeries, major maxillofacial bones/mandible surgeries, and major and nonmajor pharynx and larynx surgeries (P < .05). Those same surgeries were also associated with a high risk of readmission (P < .05).
VTE is associated with a significant mortality risk. Surgeries that involve the pharynx and larynx have the highest risk of VTE and readmission.
Details
- Title: Subtitle
- Venous thromboembolism in head and neck surgery: Risk, outcome, and burden at the national level
- Creators
- Zaid Al-Qurayshi - University of Iowa Hospitals and ClinicsJarrett Walsh - University of IowaRodrigo Bayon - University of Iowa Hospitals and ClinicsEmad Kandil - Tulane University
- Resource Type
- Journal article
- Publication Details
- Head & neck, Vol.41(2), pp.411-422
- DOI
- 10.1002/hed.25409
- PMID
- 30536494
- ISSN
- 1043-3074
- eISSN
- 1097-0347
- Grant note
- T32 / NIH HHS 5T32DC000040-24 / Foundation for the National Institutes of Health
- Language
- English
- Date published
- 02/2019
- Academic Unit
- Otolaryngology
- Record Identifier
- 9984311446502771
Metrics
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