https://scholars.lib.ntu.edu.tw/handle/123456789/592650
標題: | Readmission after Adult Uvulopalatopharyngoplasty: A Population-Based Inpatient Cohort Study in Taiwan | 作者: | Hsu, Ying-Shuo WEI-CHUNG HSU JENQ-YUH KO TE-HUEI YEH Lee, Chia-Hsuan Kang, Kun-Tai |
公開日期: | 2019 | 出版社: | SAGE Publications Inc. | 卷: | 160 | 期: | 3 | 起(迄)頁: | 559-566 | 來源出版物: | Otolaryngology - Head and Neck Surgery (United States) | 摘要: | Objective: To investigate readmissions among adult inpatients who underwent uvulopalatopharyngoplasty (UPPP) in Taiwan. Design: Population-based survey. Setting: Retrospective study with the National Health Insurance Database. Methods: All cases of inpatient adult UPPP (age >20 years) from 1997 to 2012 were identified through International Classification of Diseases, Ninth Revision, Clinical Modification. Factors associated with readmission within 30 days after surgery were analyzed. Results: A total of 38,839 adults with UPPP were identified (mean age, 39.3 years; men, 73.7%). The incidence of UPPP was 14.6 per 100 000 adults, which increased from 1997 to 2012 (6.7 to 16.7 per 100,000, P trend <.001). The rates of readmission for any reason, readmission for bleeding, reoperation for bleeding, and 30-day mortality were 4.2%, 1.7%, 1.0%, and 0.14%, respectively. Young age increased the risk of reoperation for bleeding, and old age increased the risk of readmission for any reason and mortality. Men had an increased risk of readmission and reoperation. Hypertension was associated with an increased risk of readmission for any reason (odds ratio [OR], 1.29; 95% CI, 1.10-1.51), bleeding-related readmission (OR, 1.89; 95% CI, 1.52-2.36), and reoperation (OR, 2.47; 95% CI, 1.84-3.30). Concurrent hypopharyngeal surgery was associated with an increased risk of readmission for any reason (OR, 1.34; 95% CI, 1.07-1.66) and bleeding-related readmission (OR, 1.69; 95% CI, 1.25-2.27). Finally, the use of steroids was associated with an increased risk of bleeding-related readmission and reoperation. Conclusions: The incidence of adult UPPP increased from 1997 to 2012 in Taiwan. Age, sex, comorbidity, concurrent hypopharyngeal surgery, and drug administration were associated with readmission after inpatient UPPP. ? American Academy of Otolaryngology–Head and Neck Surgery Foundation 2018. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85060982207&doi=10.1177%2f0194599818813337&partnerID=40&md5=2899c725f5b9d73c6e5fe92456b6ea23 https://scholars.lib.ntu.edu.tw/handle/123456789/592650 |
ISSN: | 0194-5998 | DOI: | 10.1177/0194599818813337 | SDG/關鍵字: | analgesic agent; antibiotic agent; cephalosporin; macrolide; nonsteroid antiinflammatory agent; opiate; paracetamol; steroid; adult; age distribution; aged; Article; bleeding; blood clotting disorder; blood transfusion; carotid artery ligation; chronic pain; cohort analysis; comorbidity; diabetes mellitus; female; hospital mortality; hospital patient; hospital readmission; human; hypertension; ICD-9; incidence; ischemic heart disease; larynx surgery; length of stay; lung disease; major clinical study; male; national health insurance; nose surgery; operation duration; postoperative complication; postoperative hemorrhage; reoperation; retrospective study; risk factor; sleep disordered breathing; Taiwan; tracheostomy; uvulopalatopharyngoplasty; hospital readmission; middle aged; palate; pharynx; postoperative complication; sleep disordered breathing; uvula; young adult; Adult; Aged; Cohort Studies; Female; Humans; Length of Stay; Male; Middle Aged; Palate; Patient Readmission; Pharynx; Postoperative Complications; Reoperation; Risk Factors; Sleep Apnea, Obstructive; Taiwan; Uvula; Young Adult |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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