An Assessment of 30-Day Complications in Primary XXXX Repair: A Review of the 2012 ACS NSQIP Pediatric.

@entity1 @entity73 @entity26 @entity3002 @entity600 @entity1576 @entity3384
OBJECTIVE:     The aim of this study is to identify risk factors associated with complications and readmissions following cleft lip repair using the multicenter American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) Pediatric. DESIGN:     @entity1 undergoing CPT codes 40700, 40701, and 40702 were extracted from the ACS NSQIP Pediatric. Fisher exact,   (2), and rank-sum tests were used to evaluate risk factors. RESULTS:     Of the 525 @entity1 included, 4.2% had complications, with @entity1576 being the most common. Risk factors included @entity600 (P = .001), ventilator dependence (P = .002), @entity26 support (P = .016), tracheostomy (P = .005), esophageal/gastric/intestinal disease (P = .007), @entity73 (P = .034), acquired central @entity3002 (P = .040), nutritional support (P = .001), major and severe cardiac risk factors (P = .011 and P = .005), and an American Society of Anesthesiologists score of 3 (P = .002). In addition, complications were associated with undergoing a one-stage bilateral repair (P = .045) or concomitant ear, nose, and throat procedure (P = .045). The readmission rates for ambulatory @entity1 and inpatients were 2.6% and 4.9% (P = .556), with an overall readmission rate of 4.6%. Ambulatory @entity1 were older (P = .005) and had shorter operative times (P < .001). CONCLUSIONS:     Perioperative complications are @entity3384 repair, with @entity1576 being the most common. Readmission rates of 4.6% are higher than expected, and insight into predictors of complications will allow surgeons to identify @entity1 who could benefit from additional resources.
