Outpatient versus inpatient parotidectomy: Comparison of postoperative complication rates

Objectives Parotidectomies have become a common outpatient procedure, but their impact on postoperative complications as compared to inpatient procedures has not been evaluated in a multi‐institutional study. Study Design The aim of this retrospective analysis was to evaluate the differences in outc...

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Bibliographic Details
Published in:The Laryngoscope 2019-03, Vol.129 (3), p.655-661
Main Authors: Siddiqui, Sana H., Singh, Roshansa, Siddiqui, Emaad, Zhao, Eric H., Eloy, Jean Anderson, Baredes, Soly, Park, Richard Chan Woo
Format: Article
Language:English
Subjects:
Otolaryngology
outcomes
outpatient
parotidectomy
Surgical outcomes
Throat surgery
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Summary:Objectives Parotidectomies have become a common outpatient procedure, but their impact on postoperative complications as compared to inpatient procedures has not been evaluated in a multi‐institutional study. Study Design The aim of this retrospective analysis was to evaluate the differences in outcomes using a standardized cohort of patients undergoing outpatient or inpatient parotidectomies. Methods The National Surgical Quality Improvement Program database was queried for parotidectomies between 2005 and 2014. Univariate analyses were conducted to compare the outpatient and inpatient cohorts. A propensity‐matching algorithm was used to ensure equal distribution of demographics and preoperative comorbidities. Results Among the 4,368 parotidectomies examined, 2,915 (66.7%) were outpatient and 1,453 (33.3%) were inpatient. In the unmatched analysis, the inpatient group had higher rates of smokers (P = 
ISSN:0023-852X
1531-4995
DOI:10.1002/lary.27358