Predictors of 30-day morbidity and mortality in transnasal microscopic XXXX excision.

@entity1 @entity2313 @entity295 @entity977 @entity204 @entity293 @entity479
BACKGROUND: There is a lack of population-based, multi-institutional analyses of factors associated with morbidity and mortality following @entity977 excision. METHODS: The American College of Surgeons National Surgical Quality Improvement Project files were used to compile information on @entity1 that had undergone transnasal microscopic @entity977 resection from 2006 to 2012. @entity1 demographics, comorbidities, operative characteristics, and morbidity and mortality in the 30 days following surgery were included. Multivariate logistic regression was used for categorical variables and multivariate linear regression was used for continuous variables to evaluate factors leading to adverse events. RESULTS: A total of 658 @entity1 were included, of which 58 (8.81%) experienced a complication, reoperation or @entity204 in the 30 days following surgery. The most common complications were reoperation (3.37%), followed by unplanned reintubation (1.99%), @entity293 (1.68%), and transfusion (1.68%). Predictors of any complication, reoperation, or @entity204 include @entity295 (odds ratio [OR] = 7.596) and lower preoperative serum @entity2313 (OR = 6.667). Younger age predicted surgical complications (OR = 1.105). Predictors of medical complications include higher body mass index (OR = 1.112), chronic @entity479 use (OR = 6.568), @entity295 (OR = 15.297), and lower preoperative serum hematocrit (OR = 1.225). Predictors of increased total length of hospital stay were older age (b = 0.146), higher body mass index (b = 0.188), chronic @entity479 use (b = 0.142), @entity295 (b = 0.489), and lower preoperative serum @entity2313 (b = -0.213). CONCLUSION: Although adverse events following @entity977 excision are low, awareness of factors associated with morbidity and mortality in the early postoperative period may allow for improved @entity1 monitoring and outcomes.
