Reported In-Hospital Complications following Rib Resections for Neurogenic Thoracic Outlet Syndrome

David C. Chang, Anne O. Lidor, Susanna L. Matsen, Julie A. Freischlag

Research output: Contribution to journalArticle

Abstract

While brachial plexus injury has been described as the most common complication following thoracic outlet syndrome (TOS) operation and case series have been reported, the exact incidence rate has not been described. We conducted a retrospective analysis of 5 years (1999-2003) of the Nationwide Inpatient Sample database. Neurogenic TOS patients, rib resections, brachial plexus injuries, and vascular injuries are identified by ICD-9 diagnosis codes or procedure codes. A total of 2,016 TOS operations were identified, ranging 317-468 per year, in this database. Mean age was 37.3 years, with 1,409 (70.2%) women and 1,270 (63.0%) Caucasians. These patients were treated in a total of 392 hospitals, with an average volume of 1.03 cases per hospital per year (range 0-114). Their mean hospital length of stay was 2.51 days (median 2), with a mean total hospital charge of $16,160 in inflation-adjusted year 2005 dollars (median $11,824). The majority (1,421, or 70.5%) was treated at a teaching hospital. There were 12 brachial plexus injuries (0.60%) and 35 vascular injuries (1.74%). The rate of vascular injuries was significantly lower among teaching hospitals (1.34% vs. 2.69%, P = 0.03) and in women (1.35% vs. 2.67%, P = 0.03). Vascular injury patients had significantly longer lengths of stay (7.7 vs. 2.4 days, P <0.001) and higher total hospital charges ($53,373 vs. $15,507, P <0.001), while no such difference was observed among brachial plexus injury patients. On hospital discharge, brachial plexus injury following rib resection for TOS occurs in

Original languageEnglish (US)
Pages (from-to)564-570
Number of pages7
JournalAnnals of Vascular Surgery
Volume21
Issue number5
DOIs
StatePublished - Sep 2007

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Arm Injuries
Thoracic Outlet Syndrome
Brachial Plexus
Ribs
Vascular System Injuries
Hospital Charges
Length of Stay
Teaching Hospitals
Databases
Economic Inflation
International Classification of Diseases
Inpatients
Incidence

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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Reported In-Hospital Complications following Rib Resections for Neurogenic Thoracic Outlet Syndrome. / Chang, David C.; Lidor, Anne O.; Matsen, Susanna L.; Freischlag, Julie A.

In: Annals of Vascular Surgery, Vol. 21, No. 5, 09.2007, p. 564-570.

Research output: Contribution to journalArticle

Chang, David C. ; Lidor, Anne O. ; Matsen, Susanna L. ; Freischlag, Julie A. / Reported In-Hospital Complications following Rib Resections for Neurogenic Thoracic Outlet Syndrome. In: Annals of Vascular Surgery. 2007 ; Vol. 21, No. 5. pp. 564-570.
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