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Abstract:
OBJECTIVES/HYPOTHESIS:To examine the risk and prevalence of accidental intraoperative injury reported during head and neck surgeries and the associated outcomes. STUDY DESIGN:Retrospective cross-sectional analysis. METHODS:An analysis utilizing the Nationwide Readmissions Database, 2010 to 2014. Adult patients with a reported accidental intraoperative injury were compared to controls without such injuries. RESULTS:A total of 173 cases and 105,659 controls were included. Most cases were reported in surgeries of the mouth/tonsils (29.4%) and maxillofacial bones/mandible (22.5%). The remaining cases were reported in surgeries of the pharynx/larynx (17.5%), nose/paranasal sinuses (15.4%), salivary glands and ducts (6.2%), thyroid/parathyroid (5.2%), and ear (3.8%). The multivariate logistic regression model demonstrated that surgeries of the pharynx/larynx were associated with the highest risk of injuries compared to other site surgeries (odds ratio [OR]: 2.51, 95% confidence interval [CI]: 1.49, 4.25, P < .001]. Concomitant neck dissection was also independently associated with the risk of injury (OR: 4.07, 95% CI: 2.05, 8.09, P < .001]. Compared to controls, cases were not associated with an increased risk of mortality (P = .63) or readmission (P = .29); however, those cases had a significantly longer hospital stay on average by 3.64 ± 0.95 days/case (P < .001) and a higher cost of treatment on average by $13,478 ± 119.42/case (P < .001). CONCLUSIONS:This study reports on the prevalence and outcomes of accidental intraoperative injuries reported in head and neck surgeries. The prevalence is relatively low, and the annual trend appears stable; however, it is associated with a significant burden on the health system. LEVEL OF EVIDENCE:NA Laryngoscope, 130:918-924, 2020.
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最新影响因子:2.97 | 期刊ISSN:0023-852X | CiteScore:2.37 |
出版周期:Monthly | 是否OA:YES | 出版年份:1896 |
期刊官方网址:http://onlinelibrary.wiley.com/journal/10.1002/%28ISSN%291531-4995
自引率:10.50% | 研究方向:医学-耳鼻喉科学 |
出版地区:UNITED STATES |
SCI期刊coverage:Science Citation Index Expanded(科学引文索引扩展)
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For more than 100 years, otolaryngologists, clinicians, and researchers around the world have read The Laryngoscope to keep pace with and learn how to take advantage of the most important advances in the diagnosis and treatment of head and neck disorders. Moreover, the journal is the first choice among otolaryngologists to publish their most important findings and share their own successful techniques with their colleagues.
100多年来,世界各地的耳鼻喉科医生、临床医生和研究人员都阅读喉镜,以跟上并学习如何利用头颈部疾病诊断和治疗方面最重要的进展。此外,该杂志是耳鼻喉科医生的第一选择,发表他们最重要的发现,并与他们的同事分享他们自己的成功技术。
大类(学科) | 小类(学科) | 学科排名 |
医学 |
MEDICINE, RESEARCH & EXPERIMENTAL (医学:研究与实验) 4区 OTORHINOLARYNGOLOGY (耳鼻喉科学) 3区 |
73/133 12/41 |
年度总发文量 | 年度论文发表量 | 年度综述发表量 |
483 | 442 | 41 |
引文计数(2018)
文献(2015-2017)
4357次引用
1837篇文献
序号 | 类别 | 排名 | 百分位 |
1 |
大类(学科):Medicine
小类(学科):Otorhinolaryngology
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发表一篇学和医学成像类SCI论文
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