Table 4 Propensity matched patient outcomes following thyroidectomy surgerya
Patient group, No. (%) | Risk difference (95% CI) | Relative risk (95% CI) | P Value* | FDR P Value** | ||
|---|---|---|---|---|---|---|
Outpatient (n = 13,496) | Inpatient (n = 13,496) | |||||
Any 30-day complication | 150 (1.1) | 424 (3.1) | -2.03 (-2.37,-1.69) | 0.35 (0.29,0.43) | < .001 | < .0001 |
Overall surgical complication | 49 (0.4) | 95 (0.7) | -0.34 (-0.51,-0.17) | 0.52 (0.37,0.73) | < .001 | 0.0003 |
SSI | 48 (0.4) | 86 (0.6) | -0.28 (-0.45,-0.11) | 0.56 (0.39,0.79) | 0.001 | 0.002 |
Superficial SSI | 32 (0.2) | 57 (0.4) | -0.19 (-0.32,-0.05) | 0.56 (0.36,0.86) | 0.008 | 0.012 |
Deep incisional SSI | 9 (0.1) | 16 (0.1) | -0.05 (-0.12,0.02) | 0.56 (0.25,1.27) | 0.16 | 0.208 |
Organ/space SSI | 7 (0.1) | 13 (0.1) | -0.04 (-0.11,0.02) | 0.54 (0.21,1.35) | 0.18 | 0.221 |
Wound dehiscence | 1 (0.01) | 11 (0.1) | -0.07 (-0.12,-0.02) | 0.09 (0.01,0.70) | 0.004 | 0.007 |
Overall medical complication | 107 (0.8) | 350 (2.6) | -1.80 (-2.11,-1.49) | 0.31 (0.25,0.38) | < .001 | < .0001 |
Pneumonia | 14 (0.1) | 67 (0.5) | -0.39 (-0.52,-0.26) | 0.21 (0.12,0.37) | < .001 | < .0001 |
Unplanned intubation | 8 (0.1) | 123 (0.9) | -0.85 (-1.02,-0.69) | 0.07 (0.03,0.13) | < .001 | < .0001 |
VTE | 22 (0.2) | 28 (0.2) | -0.04 (-0.15,0.06) | 0.79 (0.45,1.37) | 0.34 | 0.465 |
Deep vein thrombosis | 11 (0.1) | 14 (0.1) | -0.02 (-0.09,0.05) | 0.79 (0.36,1.73) | 0.55 | 0.570 |
Pulmonary embolism | 13 (0.1) | 17 (0.1) | -0.03 (-0.11,0.05) | 0.76 (0.37,1.57) | 0.47 | 0.518 |
Failure to wean | 4 (0.03) | 67 (0.5) | -0.47 (-0.59,-0.34) | 0.06 (0.02,0.16) | < .001 | < .0001 |
Progressive renal insufficiency | 0 (0.00) | 11 (0.1) | -0.08 (-0.13,-0.03) | – | < .001 | 0.002 |
Acute renal failure | 0 (0.00) | 4 (0.03) | -0.03 (-0.06,-0.00) | – | 0.05 | 0.065 |
Urinary tract infection | 44 (0.3) | 39 (0.3) | 0.04 (-0.10,0.17) | 1.13 (0.73,1.74) | 0.58 | 0.583 |
Stroke/cerebrovascular accident | 3 (0.02) | 5 (0.04) | -0.01 (-0.06,0.03) | 0.60 (0.14,2.51) | 0.48 | 0.518 |
Cardiac arrest | 2 (0.01) | 18 (0.1) | -0.12 (-0.18,-0.05) | 0.11 (0.03,0.48) | < .001 | 0.0009 |
Myocardial Infarction | 4 (0.03) | 16 (0.1) | -0.09 (-0.15,-0.02) | 0.25 (0.08,0.75) | 0.007 | 0.012 |
Bleeding | 5 (0.04) | 55 (0.4) | -0.37 (-0.48,-0.26) | 0.09 (0.04,0.23) | < .001 | < .0001 |
Sepsis/Septic shock | 13 (0.1) | 33 (0.2) | -0.15 (-0.25,-0.05) | 0.39 (0.21,0.75) | 0.003 | 0.006 |
Sepsis | 10 (0.1) | 26 (0.2) | -0.12 (-0.21,-0.03) | 0.38 (0.19,0.80) | 0.008 | 0.012 |
Septic shock | 3 (0.02) | 8 (0.1) | -0.04 (-0.09,0.01) | 0.38 (0.10,1.41) | 0.13 | 0.178 |
Death | 2 (0.01) | 22 (0.2) | -0.15 (-0.22,-0.08) | 0.09 (0.02,0.39) | < .001 | 0.0001 |
Readmission | 310 (2.3) | 438 (3.3) | -0.95 (-1.34,-0.56) | 0.71 (0.61,0.82) | < .001 | < .0001 |
Return to the operating room | 110 (0.8) | 351 (2.6) | -1.79 (-2.09,-1.48) | 0.31 (0.25,0.39) | < .001 | < .0001 |