Analyzing the ATA statement on outpatient thyroidectomy using the NSQIP database - 03/12/20
, Christopher Dodoo , Eyas Alkhalili ⁎ Abstract |
Introduction |
The aim of this study is to examine the outcomes of outpatient thyroidectomy per the American Thyroid Association (ATA) statement on this procedure using the American College of Surgeons National Surgical Quality Improvement Project (NSQIP) database.
Methods |
A retrospective study using NSQIP database (2016 2017) comparing outpatient (OP) and inpatient (IP) thyroidectomies based on the ATA statement.
Results |
There were 382 inpatient and 628 outpatient thyroidectomies. A vessel sealing device and intraoperative nerve monitoring were more commonly used in OP group. Drain use was less common in OP group.
There was no difference in the rate of recurrent laryngeal nerve injury, neck hematoma, or postoperative hypocalcemia within 30 days after surgery. IP group had a higher rate of readmissions (3.4% vs 1.8%, p = 0.004). Logistic regression showed OP surgery was associated with a lower risk of readmission OR 0.38 (CI 0.15–0.97; p = 0.04).
Conclusion |
The ATA criteria can be used to identify good candidates for outpatient thyroidectomy.
Le texte complet de cet article est disponible en PDF.Highlights |
• | The American Thyroid Association statement describes selection criteria for outpatient thyroidectomy. |
• | The outcomes of outpatient thyroidectomy is as good as that of inpatient surgery. |
• | Patients who underwent outpatient surgery were less likely to experience unplanned readmission. |
Keywords : Outpatient thyroidectomy, Surgical outcomes, American Thyroid association
Plan
Vol 220 - N° 6
P. 1405-1409 - décembre 2020 Retour au numéro
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