Benchmarks for mortality, morbidity, and length of stay for head and neck surgical procedures

N. Bhattacharyya, Marvin P. Fried

Research output: Contribution to journalArticle

61 Citations (Scopus)

Abstract

Objective: To determine benchmarks and factors that influence morbidity, mortality, and length of stay (LOS) for head and neck surgical procedures. Methods: A specific database for head and neck surgical procedures was extracted from the National Hospital Data Survey database for 1995 through 1997. Records of inpatient admissions for patients undergoing head and neck surgery were examined to determine demographics, incidence of medical complications, mortality, and LOS. Data were statistically examined for the influence of medical complications on mortality and LOS. Results: A total of 3932 patients underwent head and neck procedures. The overall medical morbidity and mortality rates were 5.65% and 2.98%, respectively. The presence of a major medical complication increased the odds of death by 5.65 (P<.001). Postoperative pneumonia was the most common medical complication (3.26%) and was associated with a mortality rate of 10.94% (odds ratio for mortality, 4.4). Acute myocardial infarction and stroke were rare (combined incidence, 1.86%) and were not statistically associated with increased mortality. Procedures that involved the esophagus carried the highest mortality rate (8.38%). The overall mean LOS was 6.15 days. This increased to 17.7 days when a major medical complication occurred (P<.001). Increasing age was associated with increased rates of medical complications and mortality (P<.001). Conclusions: Medical complications in patients undergoing head and neck surgical procedures are associated with increased mortality rates and longer LOS. Mortality rates in head and neck surgery are low but may be improved by preventing medical complications.

Original languageEnglish (US)
Pages (from-to)127-132
Number of pages6
JournalArchives of Otolaryngology - Head and Neck Surgery
Volume127
Issue number2
StatePublished - 2001
Externally publishedYes

Fingerprint

Benchmarking
Length of Stay
Neck
Head
Morbidity
Mortality
Databases
Patient Admission
Incidence
Esophagus
Inpatients
Pneumonia
Stroke
Odds Ratio
Myocardial Infarction
Demography

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Benchmarks for mortality, morbidity, and length of stay for head and neck surgical procedures. / Bhattacharyya, N.; Fried, Marvin P.

In: Archives of Otolaryngology - Head and Neck Surgery, Vol. 127, No. 2, 2001, p. 127-132.

Research output: Contribution to journalArticle

@article{16902867a531468283266c607334f0b5,
title = "Benchmarks for mortality, morbidity, and length of stay for head and neck surgical procedures",
abstract = "Objective: To determine benchmarks and factors that influence morbidity, mortality, and length of stay (LOS) for head and neck surgical procedures. Methods: A specific database for head and neck surgical procedures was extracted from the National Hospital Data Survey database for 1995 through 1997. Records of inpatient admissions for patients undergoing head and neck surgery were examined to determine demographics, incidence of medical complications, mortality, and LOS. Data were statistically examined for the influence of medical complications on mortality and LOS. Results: A total of 3932 patients underwent head and neck procedures. The overall medical morbidity and mortality rates were 5.65{\%} and 2.98{\%}, respectively. The presence of a major medical complication increased the odds of death by 5.65 (P<.001). Postoperative pneumonia was the most common medical complication (3.26{\%}) and was associated with a mortality rate of 10.94{\%} (odds ratio for mortality, 4.4). Acute myocardial infarction and stroke were rare (combined incidence, 1.86{\%}) and were not statistically associated with increased mortality. Procedures that involved the esophagus carried the highest mortality rate (8.38{\%}). The overall mean LOS was 6.15 days. This increased to 17.7 days when a major medical complication occurred (P<.001). Increasing age was associated with increased rates of medical complications and mortality (P<.001). Conclusions: Medical complications in patients undergoing head and neck surgical procedures are associated with increased mortality rates and longer LOS. Mortality rates in head and neck surgery are low but may be improved by preventing medical complications.",
author = "N. Bhattacharyya and Fried, {Marvin P.}",
year = "2001",
language = "English (US)",
volume = "127",
pages = "127--132",
journal = "Archives of Otolaryngology",
issn = "2168-6181",
publisher = "American Medical Association",
number = "2",

}

TY - JOUR

T1 - Benchmarks for mortality, morbidity, and length of stay for head and neck surgical procedures

AU - Bhattacharyya, N.

AU - Fried, Marvin P.

PY - 2001

Y1 - 2001

N2 - Objective: To determine benchmarks and factors that influence morbidity, mortality, and length of stay (LOS) for head and neck surgical procedures. Methods: A specific database for head and neck surgical procedures was extracted from the National Hospital Data Survey database for 1995 through 1997. Records of inpatient admissions for patients undergoing head and neck surgery were examined to determine demographics, incidence of medical complications, mortality, and LOS. Data were statistically examined for the influence of medical complications on mortality and LOS. Results: A total of 3932 patients underwent head and neck procedures. The overall medical morbidity and mortality rates were 5.65% and 2.98%, respectively. The presence of a major medical complication increased the odds of death by 5.65 (P<.001). Postoperative pneumonia was the most common medical complication (3.26%) and was associated with a mortality rate of 10.94% (odds ratio for mortality, 4.4). Acute myocardial infarction and stroke were rare (combined incidence, 1.86%) and were not statistically associated with increased mortality. Procedures that involved the esophagus carried the highest mortality rate (8.38%). The overall mean LOS was 6.15 days. This increased to 17.7 days when a major medical complication occurred (P<.001). Increasing age was associated with increased rates of medical complications and mortality (P<.001). Conclusions: Medical complications in patients undergoing head and neck surgical procedures are associated with increased mortality rates and longer LOS. Mortality rates in head and neck surgery are low but may be improved by preventing medical complications.

AB - Objective: To determine benchmarks and factors that influence morbidity, mortality, and length of stay (LOS) for head and neck surgical procedures. Methods: A specific database for head and neck surgical procedures was extracted from the National Hospital Data Survey database for 1995 through 1997. Records of inpatient admissions for patients undergoing head and neck surgery were examined to determine demographics, incidence of medical complications, mortality, and LOS. Data were statistically examined for the influence of medical complications on mortality and LOS. Results: A total of 3932 patients underwent head and neck procedures. The overall medical morbidity and mortality rates were 5.65% and 2.98%, respectively. The presence of a major medical complication increased the odds of death by 5.65 (P<.001). Postoperative pneumonia was the most common medical complication (3.26%) and was associated with a mortality rate of 10.94% (odds ratio for mortality, 4.4). Acute myocardial infarction and stroke were rare (combined incidence, 1.86%) and were not statistically associated with increased mortality. Procedures that involved the esophagus carried the highest mortality rate (8.38%). The overall mean LOS was 6.15 days. This increased to 17.7 days when a major medical complication occurred (P<.001). Increasing age was associated with increased rates of medical complications and mortality (P<.001). Conclusions: Medical complications in patients undergoing head and neck surgical procedures are associated with increased mortality rates and longer LOS. Mortality rates in head and neck surgery are low but may be improved by preventing medical complications.

UR - http://www.scopus.com/inward/record.url?scp=0035110120&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0035110120&partnerID=8YFLogxK

M3 - Article

C2 - 11177028

AN - SCOPUS:0035110120

VL - 127

SP - 127

EP - 132

JO - Archives of Otolaryngology

JF - Archives of Otolaryngology

SN - 2168-6181

IS - 2

ER -