Evidence map›Paper›PMID 38124147›Full record

ArticleBMC research notes2023

Total laryngectomy and readmission: causes, rates and predictors.

Almoaidbellah Rammal, Abdulsalam Alqutub, Omar Alsulami, Naif Mozahim, Sara Mozahim, Mohammed Awadh, Muatasaim Hakami, Rahaf AlThomali, Ahmed Mogharbel

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PubMed Full text at PMC Publisher
In one paragraph

Article in BMC research notes, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Almoaidbellah RammalOtolaryngology-Head and Neck Surgery Department, King Abdulaziz University Hospital, King Abdulaziz University, Jeddah, Saudi Arabia.
Abdulsalam AlqutubOtolaryngology-Head and Neck Surgery Department, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia. ksasalam47@hotmail.com.
Omar AlsulamiOtolaryngology-Head and Neck Surgery Department, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Naif MozahimOtolaryngology-Head and Neck Surgery Department, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Sara MozahimOtolaryngology-Head and Neck Surgery Department, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Mohammed AwadhOtolaryngology-Head and Neck Surgery Department, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Muatasaim HakamiOtolaryngology-Head and Neck Surgery Department, King Abdulaziz University Hospital, King Abdulaziz University, Jeddah, Saudi Arabia.
Rahaf AlThomaliOtolaryngology-Head and Neck Surgery Department, King Abdulaziz University Hospital, King Abdulaziz University, Jeddah, Saudi Arabia.
Ahmed MogharbelOtolaryngology-Head and Neck Surgery Department, King Abdulaziz University Hospital, King Abdulaziz University, Jeddah, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTotal laryngectomy (TL) is a complex procedure, and patients undergoing TL are at high risk for readmission, which exposes them to hospital-acquired complications. Readmission rate is a metric for quality of care. We aimed to identify the rate, causes, and predictors of hospital readmission within 60 days after discharge following TL.

methodsThis is a 12-year retrospective study where we included all patients undergoing TL in a single tertiary care center between 2008 and 2022. Patient charts were reviewed for demographics, comorbidities, and causes for readmission.

resultsOf 83 patients who underwent TL, 12 (14.50%) were readmitted within 60 days. Common causes were surgical site infection (33.33%) and mucocutaneous fistula (25%). Significant predictors for readmission were tobacco use (P = 0.003), African ethnicity (P = 0.004), being unmarried (P < 0.001), lower preoperative serum albumin (P < 0.001), higher preoperative TSH (P = 0.03), higher preoperative neutrophil count (P = 0.035), higher American Society of Anesthesiology (ASA) score (P = 0.028), and higher Cumulative Illness Rating Scale (CIRS) score (P = 0.029).

conclusionOne in every seven patients were readmitted following TL. Frequent causes include wound infection and fistulas. Predictors include preoperative hypoalbuminemia, hypothyroidism, African ethnicity, being unmarried, tobacco use, and a higher baseline burden of comorbidities. Such factors can be targeted to reduce hospital readmission rates.

Indexed as

LaryngectomyPatient ReadmissionHumansPostoperative ComplicationsRetrospective StudiesRisk FactorsSurgical Wound InfectionUnited StatesEthnicityHypoalbuminemiaLaryngectomyPatient readmissionRetrospective studiesSurgical wound Infection

Identifiers

PMID38124147
PMCPMC10731825

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.