{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T23:38:02Z","timestamp":1783035482703,"version":"3.54.6"},"reference-count":49,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2021,9,28]],"date-time":"2021-09-28T00:00:00Z","timestamp":1632787200000},"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":[[2022,8]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>To investigate the morbidity and mortality of patients undergoing endoscopic sinus surgery (ESS) in the inpatient setting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective database review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The Nationwide Inpatient Sample was queried for all ESS between 2008 and 2014. Using All Patients Refined Diagnosis Related Groups (APR\u2010DRG) codes, cases with APR\u2010DRG codes under Major Diagnostic Category 3 (Diseases and Disorders of the Ear, Nose, Mouth, and Throat) were designated as patients with primary otolaryngology diagnoses undergoing ESS (ORL), and all other codes were designated as patients with non\u2010otolaryngology pathologies as their primary reason for admission but undergoing ESS (non\u2010ORL). A univariate analysis and a logistic regression were used to compare patient demographics, comorbidities, disease severity, and mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 8,305 ORL patients and 6,342 non\u2010ORL patients. ORL patients were more likely to be elective admissions (61.3% vs. 48.5%, <jats:italic>P<\/jats:italic>\u00a0&lt;\u2009.001), have a deviated nasal septum (17.9% vs. 12.3%, <jats:italic>P<\/jats:italic>\u00a0&lt;\u2009.001), nasal polyps (15.8% vs. 5.0%, <jats:italic>P<\/jats:italic>\u00a0&lt;\u2009.001), obstructive sleep apnea (10.7% vs. 5.2%, <jats:italic>P<\/jats:italic>\u00a0&lt;\u2009.001), and pulmonary disease (15.9% vs. 10.5%, <jats:italic>P<\/jats:italic>\u00a0&lt;\u2009.001). Non\u2010ORL patients had a higher likelihood of in\u2010hospital mortality (odds ratio [OR] 6.22, 95% confidence interval [CI] 3.29\u201311.78, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001), length of stay in the highest quartile (OR 2.43, 95% CI 2.16\u20132.74, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001), and a higher proportion had APR\u2010DRG subclasses indicating extreme severity of illness (19.3% vs. 4.3%, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001) or extreme risk of mortality (12.5% vs. 2.0%, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Patients undergoing ESS in the inpatient setting have a higher than expected mortality rate which can be associated with a non\u2010otolaryngology pathology as the primary reason for their admission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4 <jats:italic>Laryngoscope<\/jats:italic>, 132:1523\u20131529, 2022<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.29881","type":"journal-article","created":{"date-parts":[[2021,9,28]],"date-time":"2021-09-28T11:16:03Z","timestamp":1632827763000},"page":"1523-1529","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Inpatient Sinus Surgery Patient Morbidity and Outcomes: A National Analysis"],"prefix":"10.1002","volume":"132","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2168-7935","authenticated-orcid":false,"given":"Christopher C.","family":"Tseng","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Rutgers New Jersey Medical School  Newark New Jersey U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7236-6712","authenticated-orcid":false,"given":"Jeff","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Rutgers New Jersey Medical School  Newark New Jersey U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory L.","family":"Barinsky","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Rutgers New Jersey Medical School  Newark New Jersey U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8877-5964","authenticated-orcid":false,"given":"Jordon G.","family":"Grube","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Albany Medical Center  Albany New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6047-2788","authenticated-orcid":false,"given":"Christina H.","family":"Fang","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery, Montefiore Medical Center The University Hospital of Albert Einstein College of Medicine  Bronx New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2893-7818","authenticated-orcid":false,"given":"Jean A.","family":"Eloy","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Rutgers New Jersey Medical School  Newark New Jersey U.S.A."},{"name":"Center for Skull Base and Pituitary Surgery Neurological Institute of New Jersey, Rutgers New Jersey Medical School  Newark New Jersey U.S.A."},{"name":"Department of Neurological Surgery Rutgers New Jersey Medical School  Newark New Jersey U.S.A."},{"name":"Department of Ophthalmology and Visual Science Rutgers New Jersey Medical School  Newark New Jersey U.S.A."},{"name":"Department of Otolaryngology and Facial Plastic Surgery, Saint Barnabas Medical Center, RWJBarnabas Health  Livingston New Jersey 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