{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T17:23:19Z","timestamp":1772990599965,"version":"3.50.1"},"reference-count":33,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,8,13]],"date-time":"2024-08-13T00:00:00Z","timestamp":1723507200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,8,13]],"date-time":"2024-08-13T00:00:00Z","timestamp":1723507200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine factors predicting overnight admission after sialolithectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Quality outcome database research.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>The National Surgical Quality Improvement Program American College of Surgeons Participant User Files.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Current Procedural Terminology (CPT) codes 42330, 42335, and 42340 between 2007, and 2020 resulted 916 cases. Correlations between perioperative factors and overnight admission (ie, length of stay\u2009&gt;0 days) were tested. Cases were stratified into endoscopic (ES) and nonendoscopic (NES) procedures using concurrent CPT codes 42660, 42669, and 42650.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      After sialolithectomy, 13.7% (126 cases) were admitted at least overnight. Upon multivariate analysis, wound Class 4 (odds ratio [OR]: 2.15, 95% confidence interval: 1.05, 4.40), American Society of Anesthesiologists (ASA) 3 classification (OR: 2.17, 1.06\u20104.46,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.035), and the operative time (OR: 1.01 [1.01\u20101.01],\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001) correlated with overnight stay; while Class 2 wounds had a lower risk of overnight admission (OR: 0.31 [0.12\u20101.63],\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001). The ES cohort had longer operative times (56.1 vs 73.6\u00a0minutes). In the NES cohort's multivariate analysis, ASA III (OR: 2.459 [1.13, 5.34],\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001) and operative time (OR: 1.01 [1.01, 1.02],\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001) correlated with overnight stay while Class 2 wound classifications protected against overnight stay (OR: 0.28 [0.15, 0.52],\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study highlights the correlation between intraoperative complexity, as operative time, wound classification and ASA Class 3, and the need for admission after a typically ambulatory sialolithectomy. The significantly longer operative time with evidence of a shorter length of stay in ES cases suggests a valuable trade off, within the limits of indication.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ohn.845","type":"journal-article","created":{"date-parts":[[2024,8,13]],"date-time":"2024-08-13T03:48:47Z","timestamp":1723520927000},"page":"1387-1393","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors Precipitating Overnight Admission After Sialolithectomy"],"prefix":"10.1002","volume":"171","author":[{"given":"Fahad","family":"Rind","sequence":"first","affiliation":[{"name":"Department of Otolaryngology The Ohio State University OSUMC: The Ohio State University Wexner Medical Center Columbus Ohio 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