PMID- 28231375
OWN - NLM
STAT- MEDLINE
DCOM- 20171002
LR  - 20191210
IS  - 1942-7522 (Electronic)
IS  - 0145-5613 (Linking)
VI  - 96
IP  - 2
DP  - 2017 Feb
TI  - Predictors of adverse events after neck dissection: An analysis of the 2006-2011 
      National Surgical Quality Improvement Program (NSQIP) Database.
PG  - E37-E45
AB  - While neck dissection is an important primary and adjunctive procedure in the 
      treatment of head and neck cancer, there is a paucity of studies evaluating 
      outcomes. A retrospective review of the National Surgical Quality Improvement 
      Program (NSQIP) database was performed to identify factors associated with 
      adverse events (AEs) in patients undergoing neck dissection. A total of 619 
      patients were identified, using CPT codes specific to neck dissection. Of the 619 
      patients undergoing neck dissection, 142 (22.9%) experienced an AE within 30 days 
      of the surgical procedure. Risk factors on multivariate regression analysis 
      associated with increased AEs included dyspnea (odds ratio [OR] 2.57; 95% 
      confidence interval [CI] 1.06 to 6.22; p = 0.037), previous cardiac surgery (OR 
      3.38; 95% CI 1.08 to 10.52; p = 0.036), increasing anesthesia time (OR 1.005; 95% 
      CI 1 to 1.009; p = 0.036), and increasing total work relative value units (OR 
      1.09; CI 1.04 to 1.13; p < 0.001). The current study is the largest, most robust 
      analysis to identify specific risk factors associated with AEs after neck 
      dissection. This information will assist with preoperative optimization, patient 
      counseling, and appropriate risk stratification, and it can serve as benchmarking 
      for institutions comparing surgical outcomes.
FAU - Jain, Umang
AU  - Jain U
AD  - Northwestern University, Feinberg School of Medicine, Chicago, IL, USA.
FAU - Somerville, Jessica
AU  - Somerville J
FAU - Saha, Sujata
AU  - Saha S
FAU - Ver Halen, Jon P
AU  - Ver Halen JP
FAU - Antony, Anuja K
AU  - Antony AK
FAU - Samant, Sandeep
AU  - Samant S
FAU - Kim, John Y
AU  - Kim JY
LA  - eng
PT  - Evaluation Study
PT  - Journal Article
PL  - United States
TA  - Ear Nose Throat J
JT  - Ear, nose, & throat journal
JID - 7701817
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Anesthesia/adverse effects
MH  - Cardiac Surgical Procedures/adverse effects
MH  - Databases, Factual
MH  - Dyspnea/complications
MH  - Female
MH  - Head and Neck Neoplasms/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Multivariate Analysis
MH  - Neck Dissection/*adverse effects/standards
MH  - Operative Time
MH  - Postoperative Complications/*etiology
MH  - Quality Improvement
MH  - Regression Analysis
MH  - Retrospective Studies
MH  - Risk Factors
EDAT- 2017/02/24 06:00
MHDA- 2017/10/03 06:00
CRDT- 2017/02/24 06:00
PHST- 2017/02/24 06:00 [entrez]
PHST- 2017/02/24 06:00 [pubmed]
PHST- 2017/10/03 06:00 [medline]
AID - 10.1177/014556131709600218 [doi]
PST - ppublish
SO  - Ear Nose Throat J. 2017 Feb;96(2):E37-E45. doi: 10.1177/014556131709600218.