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Hospital readmission and 30‐day mortality after surgery for oral cavity cancer: Analysis of 21,681 cases
Author(s) -
Luryi Alexander L.,
Chen Michelle M.,
Mehra Saral,
Roman Sanziana A.,
Sosa Julie A.,
Judson Benjamin L.
Publication year - 2016
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.23973
Subject(s) - medicine , comorbidity , mortality rate , odds ratio , oral cavity , cancer , retrospective cohort study , neck dissection , stage (stratigraphy) , surgery , head and neck cancer , risk of mortality , paleontology , orthodontics , biology
Background Oral cavity squamous cell cancer (SCC) is treated primarily with surgery. Rates of 30‐day hospital readmission and mortality after surgery for oral cavity SCC are unknown. Methods We conducted a retrospective analysis of postoperative 30‐day unplanned readmission and mortality in patients with oral cavity SCC in the National Cancer Data Base (NCDB). Results Among 21,681 cases, the 30‐day unplanned readmission rate was 3.2%, and the 30‐day mortality rate was 1.0%. Male sex (odds ratio [OR] = 1.23; p = .02), stage T3 (OR = 1.55; p = .007), or T4 (OR = 1.52; p = .002), and neck dissection (OR = 1.37; p = .04) were independently associated with readmission. Age 76 to 85 years (OR = 4.80; p < .001), age >85 years (OR = 10.24; p < .001), comorbidity index ≥1 (OR = 2.31; p < .001), and stage T3 (OR = 3.02; p < .001) or T4 (OR = 3.24; p < .001) were associated with 30‐day mortality. Conclusion Interventions aimed at decreasing hospital readmissions should target high‐risk patients identified here. Factors associated with 30‐day mortality reflect risk factors for overall mortality. © 2015 Wiley Periodicals, Inc. Head Neck 38 : E221–E226, 2016