scholarly journals Factors associated with conversion from laparoscopic to open colectomy using the National Surgical Quality Improvement Program (NSQIP) database

2015 ◽  
Vol 17 (3) ◽  
pp. 257-264 ◽  
Author(s):  
A. R. Bhama ◽  
M. E. Charlton ◽  
M. B. Schmitt ◽  
J. W. Cromwell ◽  
J. C. Byrn
Keyword(s):  
Quality Improvement ◽  
Quality Improvement Program ◽  
Open Colectomy ◽  
Improvement Program ◽  
Surgical Quality ◽  
Factors Associated

Predictors of Adverse Events after Neck Dissection: An Analysis of the 2006–2011 National Surgical Quality Improvement Program (NSQIP) Database

2017 ◽  
Vol 96 (2) ◽  
pp. E37-E45 ◽  
Author(s):  
Umang Jain ◽  
Jessica Somerville ◽  
Sujata Saha ◽  
Jon P. Ver Halen ◽  
Anuja K. Antony ◽  
...  
Keyword(s):  
Risk Factors ◽  
Quality Improvement ◽  
Adverse Events ◽  
Neck Dissection ◽  
Multivariate Regression Analysis ◽  
Quality Improvement Program ◽  
Patient Counseling ◽  
Improvement Program ◽  
Surgical Quality ◽  
Factors Associated

While neck dissection is an important primary and adjunctive procedure in the treatment of head and neck cancer, there is a paucity of studies evaluating outcomes. A retrospective review of the National Surgical Quality Improvement Program (NSQIP) database was performed to identify factors associated with adverse events (AEs) in patients undergoing neck dissection. A total of 619 patients were identified, using CPT codes specific to neck dissection. Of the 619 patients undergoing neck dissection, 142 (22.9%) experienced an AE within 30 days of the surgical procedure. Risk factors on multivariate regression analysis associated with increased AEs included dyspnea (odds ratio [OR] 2.57; 95% confidence interval [CI] 1.06 to 6.22; p = 0.037), previous cardiac surgery (OR 3.38; 95% CI 1.08 to 10.52; p = 0.036), increasing anesthesia time (OR 1.005; 95% CI 1 to 1.009; p = 0.036), and increasing total work relative value units (OR 1.09; CI 1.04 to 1.13; p < 0.001). The current study is the largest, most robust analysis to identify specific risk factors associated with AEs after neck dissection. This information will assist with preoperative optimization, patient counseling, and appropriate risk stratification, and it can serve as benchmarking for institutions comparing surgical outcomes.

Preoperative and Intraoperative Risk Factors Associated With 30-Day Morbidity Following Urological Surgery: The National Surgical Quality Improvement Program

2006 ◽  
Vol 176 (5) ◽  
pp. 2179-2186 ◽  
Author(s):  
Julie C. McLaughlin ◽  
Aruna V. Sarma ◽  
Lauren P. Wallner ◽  
Rodney L. Dunn ◽  
Darrell A. Campbell ◽  
...  
Keyword(s):  
Risk Factors ◽  
Quality Improvement ◽  
Quality Improvement Program ◽  
Improvement Program ◽  
Surgical Quality ◽  
Factors Associated ◽  
Urological Surgery

Upper Extremity Free Flap Transfers: An Analysis of the National Surgical Quality Improvement Program Database

2020 ◽  
Author(s):  
George A. Beyer ◽  
Karan Dua ◽  
Neil V. Shah ◽  
Joseph P. Scollan ◽  
Jared M. Newman ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Upper Extremity ◽  
Free Flap ◽  
Quality Improvement Program ◽  
Readmission Rates ◽  
Improvement Program ◽  
Surgical Quality ◽  
Flap Transfer ◽  
Free Flap Transfer ◽  
Reoperation Rates

Abstract Introduction We evaluated the demographics, flap types, and 30-day complication, readmission, and reoperation rates for upper extremity free flap transfers within the National Surgical Quality Improvement Program (NSQIP) database. Materials and Methods Upper extremity free flap transfer patients in the NSQIP from 2008 to 2016 were identified. Complications, reoperations, and readmissions were queried. Chi-squared tests evaluated differences in sex, race, and insurance. The types of procedures performed, complication frequencies, reoperation rates, and readmission rates were analyzed. Results One-hundred-eleven patients were selected (mean: 36.8 years). Most common upper extremity free flaps were muscle/myocutaneous (45.9%) and other vascularized bone grafts with microanastomosis (27.9%). Thirty-day complications among all patients included superficial site infections (2.7%), intraoperative transfusions (7.2%), pneumonia (0.9%), and deep venous thrombosis (0.9%). Thirty-day reoperation and readmission rates were 4.5% and 3.6%, respectively. The mean time from discharge to readmission was 12.5 days. Conclusion Upper extremity free flap transfers could be performed with a low rate of 30-day complications, reoperations, and readmissions.

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