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- W2800674125 abstract "PURPOSE: The present study examined risk factors associated with 30-day palatoplasty complications based on multivariate analysis of the NSQIP dataset. METHODS: Primary palatoplasties were identified in the 2012–2015 Pediatric NSQIP database. Cases were analyzed with multivariate regression to investigate predictors for oronasal fistula/infection, airway complications (unplanned intubation or ventilation), length of stay (LOS) >3 days, and readmission. A sensitivity analysis was performed to determine whether increased operative time portends increased airway complications. RESULTS: 3,616 patients were included. Mean age at operation was 12.2 ± 3.8 months and mean operative time was 135.4 ± 67.5 minutes. Thirty-day complication rate was 7.6% overall, including 3.4% oronasal fistula/infection, 2.0% airway complication, 2.4% readmission, and 0.9% reoperation. 5.1% of patients had a LOS >3 days. Oronasal fistula/infection were not predicted by comorbidities, demographics or operative time. ASA class ≥3 (OR=3.04, p=0.022) and nutritional support (OR=3.19, p=0.024) predicted airway complications; sensitivity analysis also revealed operative duration >135 minutes was predictive (OR=2.79, p=0.009), increasing further when >225 minutes (OR=5.071, p=0.001). LOS >3 days was predicted by experiencing airway complications (OR=17.37, p<0.01), but preoperative ventilator dependence was protective (OR=0.08, p=0.008). Mean LOS was 1.6 ± 1.8 days without an airway complication versus 5.0 ± 4.3 with. Readmissions were increased for patients with nutritional support (OR=3.14, p=0.010), but decreased with premature birth (OR=0.248, p=0.012). CONCLUSIONS: This report represents the largest nationwide cohort of palatoplasty patients analyzed to-date. Analysis of these multi-institutional data demonstrate that airway complications with palatoplasty are increased with higher ASA class, requirement of nutritional support, and increasing operative time. J.T. Blough: None. C.A. Purnell: None. I. Chow: None. A.K. Gosain: None." @default.
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- W2800674125 date "2018-04-01" @default.
- W2800674125 modified "2023-09-27" @default.
- W2800674125 title "Abstract 08" @default.
- W2800674125 doi "https://doi.org/10.1097/01.gox.0000533873.83475.d6" @default.
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