Abstract | PURPOSE:
Length of stay is a marker of quality and efficiency of health care delivery. The objective of this study was to identify preoperative, intraoperative, and postoperative variables that impact length of stay after lateral skull base surgery. Methods/Procedures: The American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) databases from 2009-2012 were analyzed, and patients undergoing elective lateral skull base surgery for benign lesions of cranial nerves were identified. The primary outcome measure of interest was length of hospital stay. Protracted length of stay was defined as ≥75th percentile of length of stay for all patients. The impact of demographic factors, intraoperative variables, and postoperative complications on length of stay was assessed. RESULTS: In total, 252 patients were included. Almost half of the patients (41.2%) were classified as obese (body mass index ≥30). Patients who were obese had significantly longer lengths of stay (5.6 ± 3.9 days) when compared to patients who were not obese (4.6 ± 3.4 days, p = 0.006). Multivariate regression analysis demonstrated that operative time, reoperation within 30 days of initial surgery, and obesity were independent predictors for protracted length of stay. CONCLUSION:
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Authors | Brendan P O'Connell, Habib G Rizk, Shawn M Stevens, Shaun A Nguyen, Ted A Meyer |
Journal | ORL; journal for oto-rhino-laryngology and its related specialties
(ORL J Otorhinolaryngol Relat Spec)
Vol. 77
Issue 5
Pg. 294-301
( 2015)
ISSN: 1423-0275 [Electronic] Switzerland |
PMID | 26360829
(Publication Type: Journal Article, Multicenter Study)
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Copyright | © 2015 S. Karger AG, Basel. |
Topics |
- Elective Surgical Procedures
(adverse effects)
- Female
- Humans
- Incidence
- Length of Stay
(trends)
- Male
- Neurosurgical Procedures
(adverse effects)
- Obesity
(complications, epidemiology)
- Postoperative Complications
(epidemiology, etiology)
- Prospective Studies
- Quality Improvement
- Registries
- Risk Factors
- Skull Base
(surgery)
- Treatment Outcome
- United States
(epidemiology)
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