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Table 3 Patient outcomes following thyroidectomy surgery prior to propensity matchinga

From: Outpatient compared to inpatient thyroidectomy on 30-day postoperative outcomes: a national propensity matched analysis

 

Outpatient

(n = 41,326)

Inpatient

(n = 14,055)

Risk difference

(95% CI)

P-value*

Any 30-day complication

394 (0.1)

475 (3.4)

-2.43 (-2.74, -2.11)

 < .001

Overall surgical complication

149 (0.4)

107 (0.8)

-0.40 (-0.56, -0.25)

 < .001

 SSI

144 (0.4)

95 (0.7)

-0.33 (-0.47, -0.18)

 < .001

  Superficial SSI

111 (0.3)

60 (0.4)

-0.16 (-0.28, -0.04)

0.005

  Deep incisional SSI

21 (0.1)

20 (0.1)

-0.09 (-0.16, -0.03)

0.002

  Organ/space SSI

12 (0.03)

15 (0.1)

-0.08 (-0.13, -0.02)

0.001

 Wound dehiscence

5 (0.01)

14 (0.1)

-0.09 (-0.14, -0.03)

 < .001

Overall medical complication

259 (0.6)

396 (2.8)

-2.19 (-2.47, -1.91)

 < .001

 Pneumonia

36 (0.1)

74 (0.5)

-0.44 (-0.56, -0.32)

 < .001

 Unplanned intubation

29 (0.1)

137 (1.0)

-0.90 (-1.07, -0.74)

 < .001

 VTE

34 (0.1)

34 (0.2)

-0.16 (-0.25, -0.07)

 < .001

  Deep vein thrombosis

17 (0.04)

19 (0.1)

-0.09 (-0.16, -0.03)

 < .001

  Pulmonary embolism

21 (0.1)

18 (0.1)

-0.08 (-0.14, -0.01)

0.005

 Failure to wean

8 (0.02)

77 (0.6)

-0.53 (-0.65, -0.41)

 < .001

 Progressive renal insufficiency

2 (0.00)

14 (0.1)

-0.09 (-0.15, -0.04)

 < .001

 Acute renal failure

0 (0.00)

6 (0.04)

-0.04 (-0.08, -0.01)

 < .001

 Urinary tract infection

108 (0.3)

47 (0.3)

-0.07 (-0.18, 0.03)

0.166

 Stroke/cerebrovascular accident

8 (0.02)

6 (0.04)

-0.02 (-0.06, 0.01)

0.135

 Cardiac arrest

5 (0.01)

21 (0.2)

-0.14 (-0.20, -0.07)

 < .001

 Myocardial Infarction

11 (0.03)

16 (0.1)

-0.09 (-0.15, -0.03)

 < .001

 Bleeding

6 (0.01)

71 (0.5)

-0.49 (-0.61, -0.37)

 < .001

 Sepsis/Septic shock

29 (0.1)

40 (0.3)

-0.21 (-0.31, -0.12)

 < .001

  Sepsis

24 (0.1)

31 (0.2)

-0.16 (-0.24, -0.08)

 < .001

  Septic shock

5 (0.01)

10 (0.1)

-0.06 (-0.10, -0.01)

 < .001

 Death

12 (0.03)

23 (0.16)

-0.13 (-0.20, -0.07)

 < .001

 Readmission

807 (2.0)

463 (3.3)

-1.34 (-1.67, -1.02)

 < .001

 Return to the operating room

304 (0.7)

373 (2.7)

-1.92 (-2.20, -1.64)

 < .001

  1. aIncludes patients in the American College of Surgeons National Surgical Quality Improvement Program database
  2. undergoing surgery for thyroidectomy of the neck from 2015 to 2018. Percentages have been rounded
  3. *P-values were calculated from McNemar’s test for matched data
  4. Abbreviations: SSI surgical site infection, VTE venous thromboembolism