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Predictors and consequences of recurrent laryngeal nerve injury during open thyroidectomy: An American College of Surgeons National Surgical Quality Improvement Project database analysis
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Predictors and consequences of recurrent laryngeal nerve injury during open thyroidectomy: An American College of Surgeons National Surgical Quality Improvement Project database analysis
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Predictors and consequences of recurrent laryngeal nerve injury during open thyroidectomy: An American College of Surgeons National Surgical Quality Improvement Project database analysis
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Journal Article
Predictors and consequences of recurrent laryngeal nerve injury during open thyroidectomy: An American College of Surgeons National Surgical Quality Improvement Project database analysis
2021
Overview
Recurrent laryngeal nerve (RLN) injury is a serious complication of thyroidectomy. The purpose of this study is to determine the predictors and consequences of RLN injury during thyroidectomy.
A retrospective analysis was conducted using the ACS-NSQIP 2016–2017 main and thyroidectomy targeted procedure databases. Data was analyzed by multivariate logistic regression resulting in risk-adjusted odds ratios of RLN injury and morbidity/mortality.
Age ≥65, black race, neoplastic indication, total or subtotal thyroidectomy, concurrent neck surgery, operation time > median, hypoalbuminemia, and anemia were associated with RLN injury. Use of intraoperative nerve monitoring was associated with decreased RLN injuries. RLN injury is a risk factor for overall morbidity, hypocalcemia, hematoma, pulmonary morbidity, readmission, reoperation, and length of stay > median.
Several predictors of RLN injury during thyroidectomy are identified, while use of intraoperative nerve monitoring was associated with a decreased risk of RLN injury. RLN injury is associated increased postoperative complications.
•Research Highlights:•Several patient variables were identified as risk factors for RLN injury.•Intraoperative nerve monitoring is notably associated with decreased RLN injury.•RLN injury is associated with increased rates of multiple postoperative complications.
Publisher
Elsevier Inc,Elsevier Limited
Subject
/ Anemia
/ Chronic obstructive pulmonary disease
/ Female
/ Hematoma
/ Humans
/ Injuries
/ Injury
/ Intraoperative Complications - epidemiology
/ Intraoperative Complications - etiology
/ Intraoperative Complications - prevention & control
/ Male
/ Nerve
/ Obesity
/ Patients
/ Recurrent Laryngeal Nerve Injuries - epidemiology
/ Recurrent Laryngeal Nerve Injuries - etiology
/ Sepsis
/ Surgery
/ Thyroid
