Back to Search
Start Over
Hospital readmission and 30-day mortality after surgery for oral cavity cancer: Analysis of 21,681 cases.
- Source :
-
Head & neck [Head Neck] 2016 Apr; Vol. 38 Suppl 1, pp. E221-6. Date of Electronic Publication: 2015 Sep 09. - Publication Year :
- 2016
-
Abstract
- Background: Oral cavity squamous cell cancer (SCC) is treated primarily with surgery. Rates of 30-day hospital readmission and mortality after surgery for oral cavity SCC are unknown.<br />Methods: We conducted a retrospective analysis of postoperative 30-day unplanned readmission and mortality in patients with oral cavity SCC in the National Cancer Data Base (NCDB).<br />Results: Among 21,681 cases, the 30-day unplanned readmission rate was 3.2%, and the 30-day mortality rate was 1.0%. Male sex (odds ratio [OR] = 1.23; p = .02), stage T3 (OR = 1.55; p = .007), or T4 (OR = 1.52; p = .002), and neck dissection (OR = 1.37; p = .04) were independently associated with readmission. Age 76 to 85 years (OR = 4.80; p < .001), age >85 years (OR = 10.24; p < .001), comorbidity index ≥1 (OR = 2.31; p < .001), and stage T3 (OR = 3.02; p < .001) or T4 (OR = 3.24; p < .001) were associated with 30-day mortality.<br />Conclusion: Interventions aimed at decreasing hospital readmissions should target high-risk patients identified here. Factors associated with 30-day mortality reflect risk factors for overall mortality. © 2015 Wiley Periodicals, Inc. Head Neck 38: E221-E226, 2016.<br /> (© 2015 Wiley Periodicals, Inc.)
- Subjects :
- Adult
Aged
Aged, 80 and over
Female
Humans
Male
Middle Aged
Neoplasms, Squamous Cell mortality
Neoplasms, Squamous Cell surgery
Odds Ratio
Postoperative Complications
Retrospective Studies
Risk Factors
Mouth Neoplasms mortality
Mouth Neoplasms surgery
Patient Readmission statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1097-0347
- Volume :
- 38 Suppl 1
- Database :
- MEDLINE
- Journal :
- Head & neck
- Publication Type :
- Academic Journal
- Accession number :
- 25537226
- Full Text :
- https://doi.org/10.1002/hed.23973