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Incidence of Serious Complications After Uvulopalatopharyngoplasty
Author(s) -
Kezirian Eric J.,
Weaver Edward M.,
Yueh Bevan,
Deyo Richard A.,
Khuri Shukri F.,
Daley Jennifer,
Henderson William
Publication year - 2004
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1097/00005537-200403000-00012
Subject(s) - medicine , uvulopalatopharyngoplasty , perioperative , incidence (geometry) , obstructive sleep apnea , complication , cohort , confidence interval , prospective cohort study , mortality rate , cohort study , surgery , sleep apnea , apnea , pediatrics , polysomnography , physics , optics
Objectives Uvulopalatopharyngoplasty (UPPP) is the most common surgical treatment for obstructive sleep apnea (OSA). Anatomic and physiologic abnormalities associated with OSA can make perioperative management difficult. Only single‐site case series provide current estimates of the incidence of perioperative complications, with a pooled crude serious complication rate of 3.5% and a crude mortality rate of 0.4%. The primary objective of this study was to calculate the incidence of perioperative morbidity and mortality in a large, multisite cohort of UPPP patients. Study Design Prospective cohort study of adults undergoing inpatient UPPP with or without other concurrent procedures Methods The serious complication and 30‐day mortality rates were calculated from the Department of Veterans Affairs (VA) National Surgical Quality Improvement Program database of prospectively collected outcomes of all VA inpatient surgeries nationally 1991 to 2001. Serious complications were defined by 15 specific life‐threatening complications. Deaths were captured whether the patient was in the hospital or discharged. Results Veteran patients (n = 3130) had a mean age of 50 years and were predominantly male (97%). The serious nonfatal complication rate was 1.5% (47/3,130) (95% confidence interval [CI] 1.1%, 1.9%). The 30‐day mortality rate was 0.2% (7/3130) (95% CI 0.1%, 0.4%). There was no significant effect of year of surgery or patient age on the risk of serious complication or death. Conclusion The incidence of serious nonfatal complications and 30‐day mortality after UPPP are 1.5% and 0.2%, respectively, in a large cohort of UPPP patients at veteran hospitals.