ArticleOtology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology2016
Postoperative Complications and Readmission Rates Following Surgery for Cerebellopontine Angle Schwannomas.
Article in Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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4 citing papers in PubMed, 22 citations in OpenAlex.
- Short-Term Morbidity and Predictors of Adverse Events Following Esthesioneuroblastoma Surgery.American journal of rhinology & allergy · 2021Article
- Medical Malpractice of Vestibular Schwannoma: A 40-Year Review of the United States Legal Databases.Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2019Article
- Variation in Coding Practices for Vestibular Schwannoma Surgery.Journal of neurological surgery. Part B, Skull base · 2019Article
- Observational
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8 authors at 1 institution in 1 country.
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Abstract
objectiveTo investigate the 30-day postoperative complication, readmission, and reoperation rates following surgery for cerebellopontine angle (CPA) schwannomas. STUDY
designCross-sectional analysis.
settingNational surgical quality improvement program dataset (NSQIP) 2009 through 2013. PATIENTS: All surgical cases with an International Classification of Diseases, 9th edition, Clinical Modification (ICD-9-CM) diagnosis code of 225.1, benign neoplasms of cranial nerves, and one of the following current procedural terminology (CPT) codes, were included: 61616, 61526, 61530, and 61520. INTERVENTION(S): Surgical resection as indicated by the CPT codes above. MAIN OUTCOME MEASURE(S): Demographics, comorbidities, 30-day postoperative complications, readmission rate, and reoperation rate.
resultsOverall, 404 cases were identified, of which 42.6% were men. The average age was 51 years. Comorbidities were present in 45.3%. NSQIP-tracked complications occurred in 9.7% of patients. Most common complications were wound infections including surgical-site infection and wound dehiscence (11 patients, 2.7%), sepsis (10 patients, 2.5%), blood loss (nine patients, 2.2%), and deep vein thrombosis (DVT; seven patients, 1.7%). Mortality occurred in four patients (1.0%). The complication rate was statistically higher in patients with comorbidities versus those without (10.2% versus 4.1%, p = 0.04). Patients with complications were more likely to undergo reoperation (2.5% with versus 4.1% without, p = 0.001). Unplanned readmissions occurred in 41 cases (10.1%) and reoperations occurred in 23 patients (5.7%).
conclusionsMost common NSQIP-tracked complications in excision of CPA neoplasms are infections, sepsis, blood loss, and deep vein thrombosis (DVT). Further, investigation of patients with unplanned readmission and reoperation are warranted. Neurotologists need to take an active role in the data to be gathered in the NSQIP database as it relates to vestibular schwannomas.
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