{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T08:03:31Z","timestamp":1773043411625,"version":"3.50.1"},"reference-count":23,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,7,18]],"date-time":"2019-07-18T00:00:00Z","timestamp":1563408000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To evaluate the incidence, causes, risk factors, and costs associated with 30\u2010day readmissions in parotidectomy patients utilizing the Nationwide Readmissions Database (NRD).<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We examined the NRD for patients who underwent parotidectomy between 2010 and 2014. Rates, causes, and costs of 30\u2010day readmissions were determined. Multivariate logistic regression was used to identify risk factors for readmission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 15,102 included patients, 594 (3.9%) were readmitted within 30 days. The average cost per readmission was $12,502. Infectious (22.7%) and wound (11.2%) complications were the two most common causes of readmission. After controlling for other covariates, significant predictors of readmission included advanced comorbidity (odds ratio [OR], 1.61; 95% confidence interval [CI], 1.09\u20132.37), a malignant parotid tumor (OR, 2.37; 95% CI, 1.63\u20133.43), length of stay \u22652 days (OR, 1.54; 95% CI, 1.09\u20132.18), and nonroutine discharge destinations (home with care [OR, 1.88; 95% CI, 1.27\u20132.78] and nursing facility [OR, 2.69; 95% CI, 1.55\u20134.67]).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In this nationwide database analysis, we found that nearly 4% of all patients undergoing parotidectomy are readmitted within 30 days. Readmissions are commonly due to infections and wound complications. Quality improvement proposals targeting avoidable readmissions should focus on early recognition and prevention of infection and wound complications. Risk factors contributing to readmission include advanced comorbidity, malignant parotid tumor, prolonged index hospitalization, and nonroutine discharge destinations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>NA<\/jats:p><jats:p><jats:italic>Laryngoscope<\/jats:italic>, 130:1212\u20131217, 2020<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.28187","type":"journal-article","created":{"date-parts":[[2019,7,18]],"date-time":"2019-07-18T12:29:59Z","timestamp":1563452999000},"page":"1212-1217","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Understanding nationwide readmissions after parotidectomy"],"prefix":"10.1002","volume":"130","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1842-7857","authenticated-orcid":false,"given":"Laith","family":"Mukdad","sequence":"first","affiliation":[{"name":"Department of Head and Neck Surgery University of California  Los Angeles"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9573-0318","authenticated-orcid":false,"given":"Alexander N.","family":"Goel","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Icahn School of Medicine at Mount Sinai  New York New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hassan B.","family":"Nasser","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery University of California  Los Angeles"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7068-9534","authenticated-orcid":false,"given":"Maie A.","family":"St. John","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery University of California  Los Angeles"},{"name":"David Geffen School of Medicine University of California  Los Angeles"},{"name":"UCLA Head and Neck Cancer Program  Los Angeles California"},{"name":"UCLA Jonsson Comprehensive Cancer Center  Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,7,18]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"crossref","first-page":"264","DOI":"10.14639\/0392-100X-1095","article-title":"The rising incidence of parotid metastases: our experience from four decades of parotid gland surgery","volume":"37","author":"Franzen A","year":"2017","journal-title":"Acta Otorhinolaryngol Ital"},{"key":"e_1_2_6_3_1","unstructured":"Centers for Medicare & Medicaid Services. FY 2018 final rule and correction notice data files. Baltimore MD: Centers for Medicare & Medicaid Services. 2018. Available at:https:\/\/www.cms.gov\/Medicare\/Medicare\u2010Fee\u2010for\u2010Service\u2010Payment\/AcuteInpatientPPS\/FY2018\u2010IPPS\u2010Final\u2010Rule\u2010Home\u2010Page\u2010Items\/FY2018\u2010IPPS\u2010Final\u2010Rule\u2010Data\u2010Files.html?DLPage=1&DLEntries=10&DLSort=0&DLSortDir=ascending. Accessed March 5 2019."},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24837"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2014.1223"},{"key":"e_1_2_6_6_1","unstructured":"Healthcare Cost and Utilization Project (HCUP). Overview of the Nationwide Readmissions Database (NRD). Available at:https:\/\/www.hcup-us.ahrq.gov\/nrdoverview.jsp. 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