TY - JOUR
T1 - Safety and postoperative adverse events in pediatric otologic surgery
T2 - Analysis of american college of surgeons NSQIP-P 30-day outcomes
AU - Roxbury, Christopher R.
AU - Yang, Jingyan
AU - Salazar, Jose
AU - Shah, Rahul K.
AU - Boss, Emily F.
N1 - Funding Information:
Competing interests: Emily F. Boss is supported by the Agency for Healthcare Research and Quality (grant 1K08HS22932-01), the Johns Hopkins Clinician Scientist Award, and the American Society of Pediatric Otolaryngology Career Development Award.
Publisher Copyright:
© 2015 American Academy of Otolaryngology-Head and Neck Surgery Foundation.
PY - 2015/5/9
Y1 - 2015/5/9
N2 - Objectives. Describe safety and postoperative sequelae of pediatric otologic surgery and identify predictive factors for postoperative events. Study Design. Retrospective cohort study of the American College of Surgeons National Surgery Quality Improvement Program-Pediatric (NSQIP-P) database. Setting. Data pooled from the 2012 NSQIP-P public use file (50 institutions). Subjects and Methods. Current procedural terminology codes were used to identify children who underwent otologic surgery. Variables of interest included demographics and 30-day postoperative events grouped as reoperation, readmission, and complication. Event rates were determined and prevalence of events compared by procedure type and within patient subgroups according to chi-square analysis. Multivariate logistic regression evaluated predictive factors for postoperative events. Results. Of 37,319 pediatric operations, 2556 (6.8%) were otologic procedures. The most common procedure was tympanoplasty (n = 893, 34.9%), followed by myringoplasty (n = 741, 30.0%), cochlear implantation (n = 464, 18.2%), and tympanomastoidectomy (n = 458, 17.9%). There were 9 reoperations (0.4%), 32 readmissions (1.3%), and 18 complications (0.7%). Children undergoing tympanomastoidectomy or cochlear implantation were more likely to be readmitted irrespective of other factors (odds ratio = 5.5, P = .010; odds ratio = 3.5, P = .083). Children <3 years old were 4 times more likely to be readmitted than older children (odds ratio = 4.4, P<.001). Conclusion. Pediatric otologic procedures are common and have low rates of global 30-day postoperative events. Tympanomastoidectomy and cochlear implantation have the highest risk of 30-day readmission. Young children (<3 years) are more likely to be readmitted following these procedures. Further optimization of the NSQIP-P to include specialty and procedure-specific variables is necessary to assess complete, actionable outcomes of pediatric otologic surgery, however the present study provides a foundation to build upon for safety and quality improvement initiatives in pediatric otology.
AB - Objectives. Describe safety and postoperative sequelae of pediatric otologic surgery and identify predictive factors for postoperative events. Study Design. Retrospective cohort study of the American College of Surgeons National Surgery Quality Improvement Program-Pediatric (NSQIP-P) database. Setting. Data pooled from the 2012 NSQIP-P public use file (50 institutions). Subjects and Methods. Current procedural terminology codes were used to identify children who underwent otologic surgery. Variables of interest included demographics and 30-day postoperative events grouped as reoperation, readmission, and complication. Event rates were determined and prevalence of events compared by procedure type and within patient subgroups according to chi-square analysis. Multivariate logistic regression evaluated predictive factors for postoperative events. Results. Of 37,319 pediatric operations, 2556 (6.8%) were otologic procedures. The most common procedure was tympanoplasty (n = 893, 34.9%), followed by myringoplasty (n = 741, 30.0%), cochlear implantation (n = 464, 18.2%), and tympanomastoidectomy (n = 458, 17.9%). There were 9 reoperations (0.4%), 32 readmissions (1.3%), and 18 complications (0.7%). Children undergoing tympanomastoidectomy or cochlear implantation were more likely to be readmitted irrespective of other factors (odds ratio = 5.5, P = .010; odds ratio = 3.5, P = .083). Children <3 years old were 4 times more likely to be readmitted than older children (odds ratio = 4.4, P<.001). Conclusion. Pediatric otologic procedures are common and have low rates of global 30-day postoperative events. Tympanomastoidectomy and cochlear implantation have the highest risk of 30-day readmission. Young children (<3 years) are more likely to be readmitted following these procedures. Further optimization of the NSQIP-P to include specialty and procedure-specific variables is necessary to assess complete, actionable outcomes of pediatric otologic surgery, however the present study provides a foundation to build upon for safety and quality improvement initiatives in pediatric otology.
KW - morbidity and mortality
KW - pediatric otology
KW - quality improvement
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U2 - 10.1177/0194599815575711
DO - 10.1177/0194599815575711
M3 - Article
C2 - 25805641
AN - SCOPUS:84930737655
SN - 0194-5998
VL - 152
SP - 790
EP - 795
JO - Otolaryngology - Head and Neck Surgery (United States)
JF - Otolaryngology - Head and Neck Surgery (United States)
IS - 5
ER -