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Postoperative length of stay after elective CSF leak repair: Costs and outcomes

Postoperative length of stay after elective CSF leak repair: Costs and outcomes INTRODUCTIONCertain cerebrospinal fluid (CSF) leaks are amenable to nonurgent surgical repair scheduled within days to weeks. Shorter postoperative lengths of stay (PLOS) after these procedures are increasingly common. Many surgeons routinely admit patients postoperatively, whereas others discharge patients the same day after this procedure.1,2 Recent evidence showed that shortening the time to CSF leak repair improves outcomes in nonelective cases.3 However, evidence is lacking as to whether PLOS influences surgical outcomes or the cost of care for elective repair. This study aimed to evaluate the impact of PLOS on clinical outcomes and the cost of care after elective CSF leak repair.METHODSDatabaseThe National Readmission Database (NRD) was developed by the Agency for Healthcare Research and Quality (AHRQ). The NRD has a similar distribution of admissions from urban teaching hospitals (29.2%), urban nonteaching hospitals (36.1%), and nonurban hospitals (34.7%). Information from the NRD in the year 2014 was used based on the most recent availability of data at the time of analysis. This study was exempt from Institutional Review Board approval.Cohort selectionAdult patients were identified who had a diagnosis of CSF rhinorrhea (ICD‐9 code 349.81) and underwent an elective surgical repair based on procedural codes (02.12 and 02.11), as previously utilized.3 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png International Forum of Allergy & Rhinology Wiley

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References (9)

Publisher
Wiley
Copyright
© 2022 ARS‐AAOA, LLC.
ISSN
2042-6976
eISSN
2042-6984
DOI
10.1002/alr.22971
Publisher site
See Article on Publisher Site

Abstract

INTRODUCTIONCertain cerebrospinal fluid (CSF) leaks are amenable to nonurgent surgical repair scheduled within days to weeks. Shorter postoperative lengths of stay (PLOS) after these procedures are increasingly common. Many surgeons routinely admit patients postoperatively, whereas others discharge patients the same day after this procedure.1,2 Recent evidence showed that shortening the time to CSF leak repair improves outcomes in nonelective cases.3 However, evidence is lacking as to whether PLOS influences surgical outcomes or the cost of care for elective repair. This study aimed to evaluate the impact of PLOS on clinical outcomes and the cost of care after elective CSF leak repair.METHODSDatabaseThe National Readmission Database (NRD) was developed by the Agency for Healthcare Research and Quality (AHRQ). The NRD has a similar distribution of admissions from urban teaching hospitals (29.2%), urban nonteaching hospitals (36.1%), and nonurban hospitals (34.7%). Information from the NRD in the year 2014 was used based on the most recent availability of data at the time of analysis. This study was exempt from Institutional Review Board approval.Cohort selectionAdult patients were identified who had a diagnosis of CSF rhinorrhea (ICD‐9 code 349.81) and underwent an elective surgical repair based on procedural codes (02.12 and 02.11), as previously utilized.3

Journal

International Forum of Allergy & RhinologyWiley

Published: Sep 1, 2022

Keywords: cerebrospinal fluid; length of stay; rhinorrhea; surgical outcomes; surgical repair

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