Thirty‐day readmission in patients undergoing head and neck microvascular reconstruction

Thirty‐day readmission in patients undergoing head and neck microvascular reconstruction

Background Characteristics of 30‐day unplanned readmissions after head and neck microvascular reconstruction remain poorly understood. Methods We conducted a retrospective cohort of patients who underwent head and neck microvascular reconstruction between 2010 and 2015. Results The 30‐day unplanned...

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Veröffentlicht in:Head & neck 2018-07, Vol.40 (7), p.1366-1374
Hauptverfasser: Graboyes, Evan M., Schrank, Travis P., Worley, Mitchell L., Momin, Suhael R., Day, Terry A., Huang, Andrew T.
Format: Artikel
Sprache:eng
Schlagworte:
Body mass index
complications
Dehiscence
Fistula
Fistulae
free flap
Head and neck
Hypopharynx
Larynx
microvascular
Microvasculature
Oropharynx
Patient admissions
quality
readmission
Risk factors
Surgical site infections
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Zusammenfassung:Background Characteristics of 30‐day unplanned readmissions after head and neck microvascular reconstruction remain poorly understood. Methods We conducted a retrospective cohort of patients who underwent head and neck microvascular reconstruction between 2010 and 2015. Results The 30‐day unplanned readmission rate was 13.0% (64/493). The most common readmission diagnoses were dehiscence, surgical site infection, or fistula (45.3%; n = 29). Of the readmissions, 46.9% (30/64) occurred within 7 days of discharge from the hospital. Risk factors for readmission on multivariable analysis included body mass index (BMI) 
ISSN:1043-3074
1097-0347
DOI:10.1002/hed.25107