{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T17:38:16Z","timestamp":1791999496382,"version":"4.4.0"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,5,22]],"date-time":"2018-05-22T00:00:00Z","timestamp":1526947200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To analyze rates, risk factors, and complications for 30\u2010day readmission among head and neck cancer (HNC) patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective review of administrative records from Vizient (Irving, Texas) Clinical Data Base\/Resource Manager on HNC patients who underwent a head and neck surgical procedure from January 2013 through September 2015 at 176 academic and community medical centers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 18,121 patients included in the study, 2502 patients were readmitted within 30\u00a0days (13.8%). Mean time to readmission was 11 \u00b1 8.2\u00a0days. Cancer of the hypopharynx, oropharynx, pharynx, and larynx all had higher odds of readmission compared to oral cavity (odds ratio [OR], 1.8, 1.7, 1.6, and 1.5; 95% confidence interval [CI], 1.4\u20102.2, 1.4\u20101.9, 1.2\u20102.3, and 1.3\u20101.7, respectively). Consistent with this, flap procedures and laryngectomy had the highest odds of readmission (OR, 1.4 and 1.3; 95% CI, 1.3\u20101.6 and 1.0\u20101.5 vs glossectomy, respectively). The most common surgical causes for readmission were postoperative infection (17.6%) and surgical wound dehiscence (16.8%), which most commonly presented on postdischarge days 4 to 5. Acute cardiac events occurred in up to 15.4% of patients depending on complexity of surgery. Dysphagia and electrolyte disturbances were common (15.8% and 15.4%, respectively); patients with these complications typically presented earlier, between days 3 and 4.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Patients with HNC are at high risk of readmission. The cancer subsite and procedure significantly influenced the risk, rate, and reason for readmission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Implications for Practice<\/jats:title><jats:p>Findings from this study can help quality improvement and patient safety administrators develop interventions that uniquely target HNC populations.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599818776633","type":"journal-article","created":{"date-parts":[[2018,5,22]],"date-time":"2018-05-22T16:14:52Z","timestamp":1527005692000},"page":"149-157","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Head and Neck Cancer Patients: Rates, Reasons, and Risk Factors for 30\u2010Day Unplanned Readmission"],"prefix":"10.1002","volume":"159","author":[{"given":"Michael K.","family":"Ghiam","sequence":"first","affiliation":[{"name":"Department of Otolaryngology University of Miami Miller School of Medicine Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Langerman","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Vanderbilt University Medical Center Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zoukaa","family":"Sargi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery Sylvester Comprehensive Cancer Center Jackson Memorial Hospital\/University of Miami Miller School of Medicine Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Rohde","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Vanderbilt University Medical Center Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,5,22]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"Centers for Medicare & Medicaid Services.Readmissions Reduction Program.https:\/\/www.cms.gov\/Medicare\/Medicare\u2010Fee\u2010for\u2010Service\u2010Payment\/AcuteInpatientPPS\/Readmissions\u2010Reduction\u2010Program.html. 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