{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T18:07:48Z","timestamp":1767895668522,"version":"3.49.0"},"reference-count":30,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2019,11,22]],"date-time":"2019-11-22T00:00:00Z","timestamp":1574380800000},"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":[[2020,9]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To determine independent risk factors for 30\u2010day readmission, prolonged length of stay (PLOS), and discharge to a rehabilitation facility for those with malignant otitis externa.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective cohort study of patients hospitalized with malignant otitis externa (International Classification of Diseases, 9th edition, code 380.14) in the Nationwide Readmissions Database (2013\u20132014). Overall and disease\u2010specific complication and mortality data were analyzed using chi\u2010squared and multivariate analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 1267 cases of malignant otitis externa extracted. A PLOS of \u22658\u2009days (90th percentile) was found in 14.2% (n = 180) of patients, and 13.7% (n = 174) were discharged to a facility. Patients were readmitted within 30\u2009days at a rate of 12.5% (n = 159). The overall rates of uncomplicated and complicated diabetes were found to be 42.1% and 17.8%, respectively. Factors independently associated with PLOS included undergoing a surgical procedure (odds ratio [OR] 2.08, <jats:italic>P<\/jats:italic> &lt; .001), and having central nervous system complications (OR 3.21, <jats:italic>P<\/jats:italic> &lt; .001). Independent risk factors for disposition to a facility included nutritional deficiency (OR 1.91, <jats:italic>P<\/jats:italic> = .029), PLOS (OR 4.61, <jats:italic>P<\/jats:italic> &lt; .001), and age 65\u201379\u2009years (OR 6.57, <jats:italic>P<\/jats:italic> = .001). Readmission was independently linked to PLOS (OR 3.14, <jats:italic>P<\/jats:italic> &lt; .001). Diabetes was not an independent risk factor for any outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Thirty\u2010day readmission, PLOS, and ultimate discharge to a rehabilitation facility were common and closely intertwined. Despite the classic association between diabetes and malignant otitis externa, diabetes was not an independent risk factor for any of our outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4 <jats:italic>Laryngoscope<\/jats:italic>, 130:2220\u20132228, 2020<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.28409","type":"journal-article","created":{"date-parts":[[2019,11,23]],"date-time":"2019-11-23T04:48:33Z","timestamp":1574484513000},"page":"2220-2228","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Thirty\u2010Day Readmission and Prolonged Length of Stay in Malignant Otitis Externa"],"prefix":"10.1002","volume":"130","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7489-5474","authenticated-orcid":false,"given":"Zachary G.","family":"Schwam","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Icahn School of Medicine at Mount Sinai  New York New York U.S.A."},{"name":"Department of Otolaryngology New York Eye and Ear Infirmary of Mount Sinai  New York New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rocco","family":"Ferrandino","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."},{"name":"Department of Otolaryngology New York Eye and Ear Infirmary of Mount Sinai  New York New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vivian Z.","family":"Kaul","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."},{"name":"Department of Otolaryngology New York Eye and Ear Infirmary of Mount Sinai  New York New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5603-8804","authenticated-orcid":false,"given":"George B.","family":"Wanna","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."},{"name":"Department of Otolaryngology New York Eye and Ear Infirmary of Mount Sinai  New York New York U.S.A."},{"name":"Audiology, Hearing, and Balance Center Mount Sinai Health System  New York New York U.S.A."},{"name":"Ear Institute Mount Sinai Health System  New York New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maura K.","family":"Cosetti","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."},{"name":"Department of Otolaryngology New York Eye and Ear Infirmary of Mount Sinai  New York 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