An XXXX and Cost After Short-Stay Thyroid Operations.

@entity1 @entity3747 @entity129 @entity13587 @entity548 @entity260 @entity1410 @entity86 @entity346
BACKGROUND: Concern for @entity260 causing airway compromise has limited widespread acceptance of ambulatory thyroid surgery. We evaluated differences in outcomes and hospital costs in those monitored for a short stay of 6  h (SS), inpatient observation of 6-23  h (IO), or inpatient admission of >23  h (IA). METHODS: We retrospectively reviewed all @entity1 undergoing thyroidectomy from 2006 to 2012. The incidence of @entity86 , @entity129 , and @entity3747 were evaluated, as well as cost data comparing the SS and IO groups. RESULTS: Of 1447 thyroidectomies, 880 (60.8  %) were performed as SS, 401 (27.7  %) as IO, and 166 (11.5  %) as IA. Fewer @entity1 in the SS group (59  %) underwent total thyroidectomy than IO (73  %) and IA (71  %; p  <  0.01), and SS @entity1 had smaller thyroid weights (27.9  g) compared with IO and IA (47.2 and 98.9  g, respectively; p  <  0.01). Ten (0.69  %) @entity1 developed @entity1410 requiring reoperation, five of the ten patients received antiplatelet or anticoagulant therapy perioperatively. Only one @entity1 in the IA group bled within the 6- to 23-h period, and no @entity1 with @entity548 who were discharged at 6  h would have benefitted from 23-h observation. Twenty-four (1.66  %) recurrent @entity13587 were identified, 16 with @entity346 . In addition, 24 (1.66  %) @entity1 had symptomatic @entity3747 , which was transient in 17 individuals. Financial data showed higher payments and lower costs associated with SS compared with IO. CONCLUSIONS: Selective SS thyroidectomy can be safe and cost effective, with few overall complications in @entity1 undergoing more complex operations involving larger thyroids who were admitted to hospital.
