Frequency and cause of readmissions following pediatric otolaryngologic surgery

摘要: Objectives/Hypothesis To characterize the frequency and nature of readmissions to free standing pediatric hospitals after otolaryngologic procedures. Study Design Retrospective national database analysis. Methods Using Pediatric Health Information Systems database, we examined 30-day inpatient in children less than 18 years old who underwent otolaryngology procedures between January 1, 2009, December 31, 2011. Univariate multivariate logistic regression analyses accounting for correlated structure data identified factors related readmission rate. Reasons postoperative day at which occurred were also examined. Results In 24-month study period, a total 493,507 performed, resulting 11,574 (2.3%) readmissions. Readmission rates varied significantly based on type procedure, patient age, presence chronic medical condition(s). Direct surgical complications accounted 3,432 (29.7%) all readmissions; 4,729 (40.9%) following tonsil adenoid surgery. Conclusion Readmissions surgery are relatively uncommon. These vary directly with procedure as well level (i.e., ethnicity, other comorbidities). demonstrate that if be used quality measure procedures, complex risk adjustment variables will necessary accurately compare outcomes different hospitals. Level Evidence 2c. Laryngoscope, 2015