{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T07:29:24Z","timestamp":1781335764743,"version":"3.54.1"},"reference-count":27,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2018,3,1]],"date-time":"2018-03-01T00:00:00Z","timestamp":1519862400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Characteristics of 30\u2010day unplanned readmissions after head and neck microvascular reconstruction remain poorly understood.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a retrospective cohort of patients who underwent head and neck microvascular reconstruction between 2010 and 2015.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The 30\u2010day unplanned readmission rate was 13.0% (64\/493). The most common readmission diagnoses were dehiscence, surgical site infection, or fistula (45.3%; n\u2009=\u200929). Of the readmissions, 46.9% (30\/64) occurred within 7 days of discharge from the hospital. Risk factors for readmission on multivariable analysis included body mass index (BMI)\u2009&lt;\u200921\u2009kg\/m<jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"#hed25107-bib-0002\"\/> (odds ratio [OR] 2.47; 95% confidence interval [CI] 1.36\u20104.47), primary site of oropharynx (OR 1.66; 95% CI 1.17\u20106.06), hypopharynx\/larynx (OR 3.66; 95% CI 1.70\u20107.88), or sinonasal\/skull base (OR 4.07; 95% CI 1.43\u201011.55), and fistula during the index hospitalization (OR 2.98; 95% CI 1.22\u20107.24).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>More than 1 in 10 patients undergoing head and neck microvascular reconstruction has a 30\u2010day unplanned readmission, most commonly related to wound complications. Further efforts are needed to determine optimal 30\u2010day unplanned readmission reduction strategies.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.25107","type":"journal-article","created":{"date-parts":[[2018,3,1]],"date-time":"2018-03-01T15:58:37Z","timestamp":1519919917000},"page":"1366-1374","source":"Crossref","is-referenced-by-count":20,"title":["Thirty\u2010day readmission in patients undergoing head and neck microvascular reconstruction"],"prefix":"10.1002","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3766-468X","authenticated-orcid":false,"given":"Evan M.","family":"Graboyes","sequence":"first","affiliation":[{"name":"Department of Otolaryngology \u2010 Head and Neck Surgery Medical University of South Carolina Charleston South Carolina"},{"name":"Hollings Cancer Center Medical University of South Carolina Charleston South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Travis P.","family":"Schrank","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2010 Head and Neck Surgery University of North Carolina Chapel Hill North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitchell L.","family":"Worley","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2010 Head and Neck Surgery Medical University of South Carolina Charleston South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suhael R.","family":"Momin","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Henry Fold Health System Detroit Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Terry A.","family":"Day","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2010 Head and Neck Surgery Medical University of South Carolina Charleston South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew T.","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2010 Head and Neck Surgery Baylor College of Medicine Houston Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,3]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa1513024"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa0803563"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1300122"},{"key":"e_1_2_6_5_1","unstructured":"Centers for Medicare & Medicaid Services (CMS.gov).Readmissions Reduction Program (HRRP).2016.https:\/\/www.cms.gov\/Medicare\/Medicare-Fee-for-Service-Payment\/AcuteInpatientPPS\/Readmissions-Reduction-Program.html. 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