Joseph Margolick1, Sam M Wiseman2. 1. Department of Surgery, St. Paul's Hospital & University of British Columbia, Vancouver, BC, Canada. 2. Department of Surgery, St. Paul's Hospital & University of British Columbia, Vancouver, BC, Canada. Electronic address: smwiseman@providencehealth.bc.ca.
Abstract
BACKGROUND: The primary objective of this study was to determine rates of reoperation, ED visits, and hospital readmission after thyroid and parathyroid surgery at a tertiary hospital. A secondary objective was to determine if scores from the American College of Surgeons Surgical Risk Calculator (ACS SRC) predicted these events. METHODS: We retrospectively reviewed the records of patients undergoing parathyroid and thyroid surgery between 2011 and 2014. Patients who underwent an unplanned reoperation, returned to the ED, or were readmitted to hospital were evaluated using the ACS SRC. RESULTS: 436 patients underwent thyroid and parathyroid operations. Rates of re-operations, ED visits and hospital readmissions after thyroid and parathyroid surgery were: 3.4%, 0.6% and 3.0% and 2.2%, 0% and 1.4%, respectively. 71% of patients who experienced post-operative complications scored below average on the ACS SRC, 17% scored above average and 12% scored average risk. CONCLUSIONS: The SRC did not predict re-operation, ED visits, or hospital readmission after thyroid or parathyroid operations.
BACKGROUND: The primary objective of this study was to determine rates of reoperation, ED visits, and hospital readmission after thyroid and parathyroid surgery at a tertiary hospital. A secondary objective was to determine if scores from the American College of Surgeons Surgical Risk Calculator (ACS SRC) predicted these events. METHODS: We retrospectively reviewed the records of patients undergoing parathyroid and thyroid surgery between 2011 and 2014. Patients who underwent an unplanned reoperation, returned to the ED, or were readmitted to hospital were evaluated using the ACS SRC. RESULTS: 436 patients underwent thyroid and parathyroid operations. Rates of re-operations, ED visits and hospital readmissions after thyroid and parathyroid surgery were: 3.4%, 0.6% and 3.0% and 2.2%, 0% and 1.4%, respectively. 71% of patients who experienced post-operative complications scored below average on the ACS SRC, 17% scored above average and 12% scored average risk. CONCLUSIONS: The SRC did not predict re-operation, ED visits, or hospital readmission after thyroid or parathyroid operations.
Authors: Apeksha Dave; Eliza W Beal; Alexandra G Lopez-Aguiar; George Poultsides; Eleftherios Makris; Flavio G Rocha; Zaheer Kanji; Sean Ronnekleiv-Kelly; Victoria R Rendell; Ryan C Fields; Bradley A Krasnick; Kamran Idrees; Paula Marincola Smith; Hari Nathan; Megan Beems; Shishir K Maithel; Timothy M Pawlik; Carl R Schmidt; Mary E Dillhoff Journal: J Gastrointest Surg Date: 2019-04-02 Impact factor: 3.452