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Nsqip AND (ent OR otolaryngology)

Christopher R Roxbury, Kris R Jatana, Rahul K Shah, Emily F Boss
OBJECTIVES: Prior research has shown that airway reconstructive procedures comprise significant composite morbidity compared to the whole of pediatric otolaryngologic cases evaluated in the American College of Surgeon's National Surgery Quality Improvement Program-Pediatric (ACS-NSQIP-P) platform. We describe postoperative sequelae of pediatric airway reconstructive procedures and identify predictive factors for adverse events. METHODS: Current procedural terminology (CPT) codes were used to identify children undergoing included procedures in the 2012 to 2014 ACS-NSQIP-P public use files (PUF)...
July 14, 2016: Laryngoscope
Natalia O Glebova, Michael Bronsert, Caitlin W Hicks, Mahmoud B Malas, Karl E Hammermeister, James H Black, Mark R Nehler, William G Henderson
OBJECTIVE: Administrative data show that among surgical patients, readmission rates are highest in vascular surgery. Herein we analyze the contribution of planned readmissions and patient comorbidities to high readmission rates in vascular surgery. METHODS: The 2012 to 2014 American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) data set was analyzed for overall and unplanned readmissions. Bivariable and multivariable risk adjustment analyses were performed using patient comorbidities to compare risks of overall and unplanned readmissions in vascular surgery compared with other specialties...
March 2016: Journal of Vascular Surgery
Justin B Mahida, Lindsey Asti, Emily F Boss, Rahul K Shah, Katherine J Deans, Peter C Minneci, Kris R Jatana
IMPORTANCE: Analysis of the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) Pediatric demonstrated that the highest contribution to composite morbidity in otolaryngology is seen in children younger than 2 years undergoing tracheostomy. OBJECTIVE: To determine predictive factors for complications following tracheostomy placement in patients younger than 2 years that, if targeted for reduction in quality initiatives, might result in improved surgical outcomes...
March 2016: JAMA Otolaryngology—Head & Neck Surgery
Anne M Stey, Charles D Vinocur, R Lawrence Moss, Bruce L Hall, Mark E Cohen, Kari Kraemer, Clifford Y Ko, Brian D Kenney
BACKGROUND: Intraoperative and postoperative red blood cell (RBC) transfusions are relatively frequent events tracked in the American College of Surgeons' National Surgical Quality Improvement Program-Pediatric (ACS-NSQIP-P). This study sought to quantify variation in RBC transfusion practices among hospitals. STUDY DESIGN AND METHODS: This is an observational study of children older than 28 days who underwent a general, neurologic, urologic, otolaryngologic, plastic, or orthopedic operation at 50 hospitals in participating in the ACS-NSQIP-P during 2011 to 2012...
March 2016: Transfusion
Rahul K Shah, Anne M Stey, Kris R Jatana, Shawn J Rangel, Emily F Boss
IMPORTANCE: Despite increased emphasis on measuring safety outcomes and quality indicators for surgical care, little is known regarding which operative procedures should be prioritized for quality-improvement initiatives in pediatric otolaryngology. OBJECTIVE: To describe the 30-day adverse event rates and relative contributions to morbidity for procedures in pediatric otolaryngology surgery using data from the American College of Surgeons' National Surgical Quality Improvement Program Pediatric database (ACS-NSQIP-P)...
November 2014: JAMA Otolaryngology—Head & Neck Surgery
Lauren M Mioton, Mohammed S Alghoul, John Y S Kim
BACKGROUND: Despite the increasing scrutiny of surgical procedures, outpatient cosmetic surgery has an established record of safety and efficacy. A key measure in assessing surgical outcomes is the examination of readmission rates. However, there is a paucity of data on unplanned readmission following cosmetic surgery procedures. OBJECTIVES: The authors studied readmission rates for outpatient cosmetic surgery and compared the data with readmission rates for other surgical procedures...
February 2014: Aesthetic Surgery Journal
Umang Jain, Rakesh K Chandra, Stephanie S Smith, Matthew Pilecki, John Y S Kim
OBJECTIVES/HYPOTHESIS: Hospital readmissions increase costs to hospitals and patients. There is a paucity of data on benchmark rates of readmission for otolaryngological surgery. Understanding the risk factors that increase readmission rates may help enhance patient education and set system-wide expectations. We aimed to provide benchmark data on causes and predictors of readmission following outpatient otolaryngological surgery. STUDY DESIGN: This study is a retrospective analysis of the 2011 National Surgical Quality Improvement Program (NSQIP) dataset...
August 2014: Laryngoscope
Rosebel Monteiro, Jeffrey S Mino, Allan E Siperstein
PURPOSE: To determine practice patterns/outcomes and educational opportunities in endocrine surgery by resident involvement in general surgery (GS) and otolaryngology (ENT). METHODS: We queried the American College of Surgeon National Surgical Quality Improvement Program for thyroid/parathyroid operations. Resident involvement was categorized by postgraduate year (PGY) and specialty. RESULTS: Of 38,257 thyroid patients, attendings alone performed 28% in GS versus 65% in ENT, and of 17,145 parathyroid patients, 22...
October 2013: Surgery
Peter Adams, Tamer Ghanem, Robert Stachler, Francis Hall, Vic Velanovich, Ilan Rubinfeld
IMPORTANCE: The increasing number of elderly and comorbid patients undergoing surgical procedures raises interest in better identifying patients at increased risk of morbidity and mortality, independent of age. Frailty has been identified as a predictor of surgical complications. OBJECTIVE: To establish the implications of frailty as a predictor of morbidity and mortality in inpatient otolaryngologic operations. DESIGN: Retrospective review of medical records...
August 1, 2013: JAMA Otolaryngology—Head & Neck Surgery
Vic Velanovich, Heath Antoine, Andrew Swartz, David Peters, Ilan Rubinfeld
BACKGROUND: Frailty has been associated with a number of adverse outcomes. One model of frailty is the "accumulating deficits" concept. We hypothesized that this model can be applied to a national database to predict postoperative mortality and morbidity. METHODS: We accessed the National Surgical Quality Improvement Program (NSQIP) Participant Use File for the years 2005-2009 for inpatient surgical patients who had undergone cardiac, general, gynecologic, neurosurgical, orthopedic, otolaryngologic, plastic, general thoracic, urologic, and vascular surgical operations...
July 2013: Journal of Surgical Research
Mehul V Raval, Peter W Dillon, Jennifer L Bruny, Clifford Y Ko, Bruce L Hall, R Lawrence Moss, Keith T Oldham, Karen E Richards, Charles D Vinocur, Moritz M Ziegler
BACKGROUND: There has been a long-standing desire to implement a multi-institutional, multispecialty program to address surgical quality improvement for children. This report documents results of the initial phase of the American College of Surgeons National Surgical Quality Improvement Program Pediatric. STUDY DESIGN: From October 2008 to December 2009, patients from 4 pediatric referral centers were sampled using American College of Surgeons National Surgical Quality Improvement Program methodology tailored to children...
January 2011: Journal of the American College of Surgeons
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