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- W2897777725 abstract "Abstract Background There is little population‐level data evaluating risk factors for postoperative complications after total laryngectomy. Methods We conducted a retrospective review of the American College of Surgeons National Quality Improvement Program identifying patients who underwent total laryngectomy as a primary procedure from 2005 to 2014. Multivariate analysis was performed to identify variables that were independently associated with overall and major complications. Results Eight hundred seventy‐one cases met inclusion criteria. Three hundred twenty‐eight patients (37.7%) had complications, with operative time (hours; P < .0001), class III ( P < .001) wound status, and patient age (decade; P = .003) associated with overall complications. Two hundred one patients had major complications that were associated with steroid use ( P = .01) and class III ( P = .0083) wound classification. Preoperative hematocrit was correlated with a reduction of all and major complications on multivariate analysis ( P < .0001 and P = .036). Conclusion Identifying and optimizing risk factors may improve outcomes in total laryngectomy." @default.
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- W2897777725 date "2018-10-11" @default.
- W2897777725 modified "2023-09-27" @default.
- W2897777725 title "Factors associated with complications in total laryngectomy without microvascular reconstruction" @default.
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- W2897777725 doi "https://doi.org/10.1002/hed.25363" @default.
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