Venous thromboembolism in head and neck surgery: Risk, outcome, and burden at the national level. Issue 2 (7th December 2018)

• Record Type: Journal Article
• Authors: Al‐Qurayshi, Zaid; Walsh, Jarrett; Rodrigo, Bayon; Kandil, Emad
• Is Part Of: Head & neck. Volume 41:Issue 2(2019)
• Page Start: 411
• Page End: 422
• Publication Date: 2018-12-07
• Subjects: deep venous thrombosis -- head and neck surgery -- health services cost -- length of stay -- mortality risk -- otolaryngology -- outcome -- prevalence -- pulmonary embolism -- venous thromboembolism; Head -- Diseases -- Periodicals; Neck -- Diseases -- Periodicals; Head -- Periodicals; Neck -- Periodicals; Face -- Periodicals; 617.51059
• DOI: 10.1002/hed.25409
• Languages: English
• ISSNs: 1043-3074

Abstract

Abstract: Background: Venous thromboembolism (VTE) can complicate major surgeries. This study examines the risk and outcomes of VTE in patients who underwent head and neck surgeries. Methods: Retrospective cross‐sectional analysis utilizing the Nationwide Readmissions Database (2010‐2014). Study population included adults (≥18 year) patients who underwent head and neck surgeries. Results: A total 386 VTE patients and 116 450 controls included. VTE risk was 0.37%, postoperative mortality was 4.87%. Of VTE, 57.02% identified within the initial admission for surgery, while the rest required readmission within 90 days. VTE high‐risk surgeries included: major ear/skull base surgeries, major nose/paranasal sinuses surgeries, major mouth/tonsil surgeries, major salivary glands/ducts surgeries, major maxillofacial bones/mandible surgeries, and major and nonmajor pharynx and larynx surgeries ( P < .05). Those same surgeries were also associated with a high risk of readmission ( P < .05). Conclusions: VTE is associated with a significant mortality risk. Surgeries that involve the pharynx and larynx have the highest risk of VTE and readmission.