Journal
OTOLARYNGOLOGY-HEAD AND NECK SURGERY
Volume 159, Issue 1, Pages 102-109Publisher
SAGE PUBLICATIONS LTD
DOI: 10.1177/0194599818765717
Keywords
vestibular schwannoma; quality improvement; facial nerve; postoperative complications
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Funding
- K12 award through South Carolina Clinical and Translational Research Institute
- academic home at the Medical University of South Carolina
- National Institute of Health / National Center for Advancing Translational Sciences [UL1TR001450]
- Doris Duke Foundation
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Objective To characterize current vestibular schwannoma (VS) surgery outcomes with a nationwide database and identify factors associated with increased complications and prolonged hospital course. Study Design Retrospective review utilizing the University HealthSystem Consortium national inpatient database. Setting US academic health centers. Subjects and Methods Data from patients undergoing VS surgery were analyzed over a 3-year time span (October 2012 to September 2015). Surgical outcomes, such as length of stay (LOS), complications, and mortality, were analyzed on the basis of race, sex, age, and comorbidities during the 30-day postoperative period. Results A total of 3697 VS surgical cases were identified. The overall mortality rate was 0.38%, and the overall complication rate was 5.3%. Advanced age significantly affected intensive care unit LOS, mortality, and complications (P = .04). Comorbidities, including hypertension, obesity, and depression, also significantly increased complication rates (P = .02). Sixty-eight patients (1.8%) had a history of irradiation, and they had a significantly increased LOS (P = .03). Conclusion Modern VS surgery has a low mortality rate and a relatively low rate of complications. Several factors contribute to high complication rates, including age and comorbidities. These data will help providers in counseling patients on which treatment course might be best suited for them.
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