Lateral cervical abscesses: NSQIP-P perspective on length of stay, readmission, and reoperation
Identify risk factors and determine perioperative sequelae of children undergoing lateral cervical abscess incision and drainage. Pediatric patients who underwent lateral cervical abscess incision and drainage aged 1–18 years were retrospectively queried via ACS-NSQIP-P (2012–2016) utilizing CPT cod...
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| Veröffentlicht in: | International journal of pediatric otorhinolaryngology 2020-04, Vol.131, p.109889-109889, Article 109889 |
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| container_title | International journal of pediatric otorhinolaryngology |
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| creator | Patel, Vijay A. Ramadan, Jad Roberts, Christopher A. Carr, Michele M. |
| description | Identify risk factors and determine perioperative sequelae of children undergoing lateral cervical abscess incision and drainage.
Pediatric patients who underwent lateral cervical abscess incision and drainage aged 1–18 years were retrospectively queried via ACS-NSQIP-P (2012–2016) utilizing CPT code 21501. Analyzed outcomes include age, time to surgery, operative time, total length of stay, readmission, and reoperation.
A total of 1917 children were identified, with a mean age at time of surgery of 4.05 years (95% CI 3.86–4.25). The mean number of days from hospital admission to operative intervention was 1.24 days (95% CI 1.16–1.31), with a mean total length of stay of 3.64 days (95% CI 3.46–3.82). The mean number of days from hospital admission to surgery was significantly lengthened in younger children (P = .0001) and pediatric patients of non-Caucasian origin (P < 0.001). Children with positive septic parameters not only had a prolonged time to surgery but also a significantly prolonged total length of stay (P |
| doi_str_mv | 10.1016/j.ijporl.2020.109889 |
| format | Article |
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Pediatric patients who underwent lateral cervical abscess incision and drainage aged 1–18 years were retrospectively queried via ACS-NSQIP-P (2012–2016) utilizing CPT code 21501. Analyzed outcomes include age, time to surgery, operative time, total length of stay, readmission, and reoperation.
A total of 1917 children were identified, with a mean age at time of surgery of 4.05 years (95% CI 3.86–4.25). The mean number of days from hospital admission to operative intervention was 1.24 days (95% CI 1.16–1.31), with a mean total length of stay of 3.64 days (95% CI 3.46–3.82). The mean number of days from hospital admission to surgery was significantly lengthened in younger children (P = .0001) and pediatric patients of non-Caucasian origin (P < 0.001). Children with positive septic parameters not only had a prolonged time to surgery but also a significantly prolonged total length of stay (P < 0.001). Finally, a persistent requirement for postoperative mechanical ventilation and prolonged operative time (P = 0.003) was found to be related to reoperation.
Younger children are more likely to have delays from hospital admission to definitive surgical intervention, but this does not appear to affect total length of stay. Recognition of pertinent clinical factors may assist in optimizing perioperative risk assessment and promote timely procedural planning in the pediatric subpopulation.</description><identifier>ISSN: 0165-5876</identifier><identifier>EISSN: 1872-8464</identifier><identifier>DOI: 10.1016/j.ijporl.2020.109889</identifier><identifier>PMID: 31981920</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Cervical abscess ; Children ; NSQIP-P ; Surgical complications ; Surgical outcomes</subject><ispartof>International journal of pediatric otorhinolaryngology, 2020-04, Vol.131, p.109889-109889, Article 109889</ispartof><rights>2020 Elsevier B.V.</rights><rights>Copyright © 2020 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c362t-71aa5f443dd90c804e7f359ab7816f18025a68844083ee6a68808849c9c94afd3</citedby><cites>FETCH-LOGICAL-c362t-71aa5f443dd90c804e7f359ab7816f18025a68844083ee6a68808849c9c94afd3</cites><orcidid>0000-0002-7406-4467</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0165587620300318$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31981920$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Patel, Vijay A.</creatorcontrib><creatorcontrib>Ramadan, Jad</creatorcontrib><creatorcontrib>Roberts, Christopher A.</creatorcontrib><creatorcontrib>Carr, Michele M.</creatorcontrib><title>Lateral cervical abscesses: NSQIP-P perspective on length of stay, readmission, and reoperation</title><title>International journal of pediatric otorhinolaryngology</title><addtitle>Int J Pediatr Otorhinolaryngol</addtitle><description>Identify risk factors and determine perioperative sequelae of children undergoing lateral cervical abscess incision and drainage.
Pediatric patients who underwent lateral cervical abscess incision and drainage aged 1–18 years were retrospectively queried via ACS-NSQIP-P (2012–2016) utilizing CPT code 21501. Analyzed outcomes include age, time to surgery, operative time, total length of stay, readmission, and reoperation.
A total of 1917 children were identified, with a mean age at time of surgery of 4.05 years (95% CI 3.86–4.25). The mean number of days from hospital admission to operative intervention was 1.24 days (95% CI 1.16–1.31), with a mean total length of stay of 3.64 days (95% CI 3.46–3.82). The mean number of days from hospital admission to surgery was significantly lengthened in younger children (P = .0001) and pediatric patients of non-Caucasian origin (P < 0.001). Children with positive septic parameters not only had a prolonged time to surgery but also a significantly prolonged total length of stay (P < 0.001). Finally, a persistent requirement for postoperative mechanical ventilation and prolonged operative time (P = 0.003) was found to be related to reoperation.
Younger children are more likely to have delays from hospital admission to definitive surgical intervention, but this does not appear to affect total length of stay. Recognition of pertinent clinical factors may assist in optimizing perioperative risk assessment and promote timely procedural planning in the pediatric subpopulation.</description><subject>Cervical abscess</subject><subject>Children</subject><subject>NSQIP-P</subject><subject>Surgical complications</subject><subject>Surgical outcomes</subject><issn>0165-5876</issn><issn>1872-8464</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kF1PwyAUhonRuPnxD4zh0ot1QguUemFiFj-WLDqjXhNGT5WlKxW6Jfv3snR6abjg8OZ9Oec8CF1QMqaEiuvl2C5b5-txStKdVEhZHKAhlXmaSCbYIRpGG0-4zMUAnYSwJITmhPNjNMhoIWmRkiFSM92B1zU24DfWxEIvgoEQINzg57fX6TyZ4xZ8aMF0dgPYNbiG5rP7wq7CodPbEfagy5UNwbpmhHVTRsHFiO6icIaOKl0HON_fp-jj4f598pTMXh6nk7tZYjKRdklOteYVY1lZFsRIwiCvMl7oRS6pqKgkKddCSsaIzADEribxWZh4mK7K7BRd9f-23n2vIXQqTmSgrnUDbh1UmjHOSS5SEa2stxrvQvBQqdbblfZbRYnaoVVL1aNVO7SqRxtjl_sO68UKyr_QL8touO0NEPfcWPAqGAuNgdL6CE-Vzv7f4Qd1eIug</recordid><startdate>202004</startdate><enddate>202004</enddate><creator>Patel, Vijay A.</creator><creator>Ramadan, Jad</creator><creator>Roberts, Christopher A.</creator><creator>Carr, Michele M.</creator><general>Elsevier B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7406-4467</orcidid></search><sort><creationdate>202004</creationdate><title>Lateral cervical abscesses: NSQIP-P perspective on length of stay, readmission, and reoperation</title><author>Patel, Vijay A. ; Ramadan, Jad ; Roberts, Christopher A. ; Carr, Michele M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c362t-71aa5f443dd90c804e7f359ab7816f18025a68844083ee6a68808849c9c94afd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Cervical abscess</topic><topic>Children</topic><topic>NSQIP-P</topic><topic>Surgical complications</topic><topic>Surgical outcomes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Patel, Vijay A.</creatorcontrib><creatorcontrib>Ramadan, Jad</creatorcontrib><creatorcontrib>Roberts, Christopher A.</creatorcontrib><creatorcontrib>Carr, Michele M.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of pediatric otorhinolaryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Patel, Vijay A.</au><au>Ramadan, Jad</au><au>Roberts, Christopher A.</au><au>Carr, Michele M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lateral cervical abscesses: NSQIP-P perspective on length of stay, readmission, and reoperation</atitle><jtitle>International journal of pediatric otorhinolaryngology</jtitle><addtitle>Int J Pediatr Otorhinolaryngol</addtitle><date>2020-04</date><risdate>2020</risdate><volume>131</volume><spage>109889</spage><epage>109889</epage><pages>109889-109889</pages><artnum>109889</artnum><issn>0165-5876</issn><eissn>1872-8464</eissn><abstract>Identify risk factors and determine perioperative sequelae of children undergoing lateral cervical abscess incision and drainage.
Pediatric patients who underwent lateral cervical abscess incision and drainage aged 1–18 years were retrospectively queried via ACS-NSQIP-P (2012–2016) utilizing CPT code 21501. Analyzed outcomes include age, time to surgery, operative time, total length of stay, readmission, and reoperation.
A total of 1917 children were identified, with a mean age at time of surgery of 4.05 years (95% CI 3.86–4.25). The mean number of days from hospital admission to operative intervention was 1.24 days (95% CI 1.16–1.31), with a mean total length of stay of 3.64 days (95% CI 3.46–3.82). The mean number of days from hospital admission to surgery was significantly lengthened in younger children (P = .0001) and pediatric patients of non-Caucasian origin (P < 0.001). Children with positive septic parameters not only had a prolonged time to surgery but also a significantly prolonged total length of stay (P < 0.001). Finally, a persistent requirement for postoperative mechanical ventilation and prolonged operative time (P = 0.003) was found to be related to reoperation.
Younger children are more likely to have delays from hospital admission to definitive surgical intervention, but this does not appear to affect total length of stay. Recognition of pertinent clinical factors may assist in optimizing perioperative risk assessment and promote timely procedural planning in the pediatric subpopulation.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>31981920</pmid><doi>10.1016/j.ijporl.2020.109889</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-7406-4467</orcidid></addata></record> |
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| subjects | Cervical abscess Children NSQIP-P Surgical complications Surgical outcomes |
| title | Lateral cervical abscesses: NSQIP-P perspective on length of stay, readmission, and reoperation |
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