Perioperative medicine & outcomes

Outpatient compared to inpatient thyroidectomy on 30-day postoperative outcomes: a national propensity matched analysis

Perioper Med (Lond)Published Retrospective cohort study

Authors' conclusion

Thyroidectomy procedures performed in the outpatient setting had less rates of adverse events, including serious postoperative complications (e.g., surgical site infection, pneumonia, progressive renal insufficiency). In addition, patients who had thyroidectomy in the outpatient setting had less 30-day readmissions and mortality.

Study context

Population
Patients undergoing primary, elective, total thyroidectomy, US ACS NSQIP institutions, 2015 to 201813,496 per group matched
Participants
55,381 patients
Exposure
Outpatient vs inpatient total thyroidectomy
  • Outpatientn = 13,496
  • Inpatientn = 13,496reference
Outcome
Composite of any postoperative adverse event
Follow-up
30 days
Methodological detailspropensity-score matched, multicentre registry (ACS NSQIP)
  • Propensity-score matched
  • Multicentre registry (ACS NSQIP)

Main finding

As reported in the abstract

Any 30-day complication

P < 0.001

Observational data: associations, not effects.

Further findings

Death · propensity matched cohort

P < 0.001

Hospital readmission · propensity matched cohort

P < 0.001

Original publication

Outpatient compared to inpatient thyroidectomy on 30-day postoperative outcomes: a national propensity matched analysis. Perioper Med (Lond). Published 8 August 2023. doi:10.1186/s13741-023-00335-x

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