2018
A Clinical Care Pathway to Reduce ICU Usage in Head and Neck Microvascular Reconstruction
Morse E, Henderson C, Carafeno T, Dibble J, Longley P, Chan E, Judson B, Yarbrough WG, Sasaki C, Mehra S. A Clinical Care Pathway to Reduce ICU Usage in Head and Neck Microvascular Reconstruction. Otolaryngology 2018, 160: 783-790. PMID: 30060705, DOI: 10.1177/0194599818782404.Peer-Reviewed Original ResearchConceptsClinical care pathwayLength of stayReadmission ratesFree flap patientsCare pathwayICU admissionSurgical complicationsFlap patientsIntensive care unit admissionNeck free flap patientsRoutine ICU admissionCare unit admissionNumber of patientsNeck microvascular reconstructionFree tissue transferReconstruction of headPrepathway groupUnit admissionPostoperative complicationsPostoperative lengthVentilatory supportMedical complicationsMedian lengthPatient populationPathway implementation
2017
Thirty‐day morbidity and mortality following otologic/neurotologic surgery: Analysis of the national surgical quality improvement program
Schwam ZG, Michaelides E, Kuo P, Hajek MA, Judson BL, Schutt C. Thirty‐day morbidity and mortality following otologic/neurotologic surgery: Analysis of the national surgical quality improvement program. The Laryngoscope 2017, 128: 1431-1437. PMID: 28940480, DOI: 10.1002/lary.26848.Peer-Reviewed Original ResearchConceptsNational Surgical Quality Improvement ProgramSurgical Quality Improvement ProgramAdverse event ratesQuality Improvement ProgramPostoperative morbidityFunctional statusTumor resectionNeurotologic surgerySurgeons National Surgical Quality Improvement ProgramOpen woundsOverall adverse event rateEvent ratesHigher adverse event ratesThirty-day morbidityPoor functional statusRetrospective cohort studyOverall mortality rateMultivariable logistic regressionImpaired functional statusMastoid proceduresPostoperative mortalityMajor morbidityPostoperative complicationsSignificant comorbiditiesCohort study
2015
Complications and mortality following surgery for oral cavity cancer: Analysis of 408 cases
Schwam ZG, Sosa JA, Roman S, Judson BL. Complications and mortality following surgery for oral cavity cancer: Analysis of 408 cases. The Laryngoscope 2015, 125: 1869-1873. PMID: 26063059, DOI: 10.1002/lary.25328.Peer-Reviewed Original ResearchConceptsOral cavity cancerPostdischarge complicationsPostoperative complicationsNeck dissectionNational Surgical Quality Improvement Program Participant Use Data FilesSurgeons National Surgical Quality Improvement Program Participant Use Data FilesSurgical siteDay 14Oral cavity cancer surgeryParticipant Use Data FilePostdischarge surgical-site infectionsCommon adverse eventsRetrospective cohort studySurgical site complicationsHigh-risk patientsModifiable risk factorsSurgical site infectionDisease-specific complicationsMultivariate regression analysisRespiratory complicationsAdverse eventsCohort studyCurrent smokersSite complicationsCancer surgery
2014
Safety of Adult Tonsillectomy: A Population-Level Analysis of 5968 Patients
Chen MM, Roman SA, Sosa JA, Judson BL. Safety of Adult Tonsillectomy: A Population-Level Analysis of 5968 Patients. JAMA Otolaryngology - Head & Neck Surgery 2014, 140: 197-202. PMID: 24481159, DOI: 10.1001/jamaoto.2013.6215.Peer-Reviewed Original ResearchConceptsAdult tonsillectomyPostoperative complicationsReoperation rateSurgeons National Surgical Quality Improvement ProgramNational Surgical Quality Improvement ProgramSurgical Quality Improvement ProgramSuperficial site infectionRetrospective cohort studyIndependent risk factorUrinary tract infectionSmall case seriesMultivariate logistic regressionOutcomes of interestPopulation-level analysisQuality Improvement ProgramFirst population-level analysisChronic tonsillitisAdult patientsCohort studyCommon complicationComplication rateMost patientsPostoperative periodTract infectionsSite infection
2013
Post‐discharge Complications Predict Reoperation and Mortality after Otolaryngology Surgery
Chen M, Roman S, Sosa J, Judson B. Post‐discharge Complications Predict Reoperation and Mortality after Otolaryngology Surgery. Otolaryngology 2013, 149: p51-p51. DOI: 10.1177/0194599813495815a56.Peer-Reviewed Original ResearchPost-discharge complicationsOtolaryngology surgeryComplication rateMultivariate analysisProcedure-specific ratesTongue/floorRetrospective cohort studyVenous thromboembolic eventsACS-NSQIP databaseHigh-risk patientsRisk of reoperationSurgical site infectionLonger operative timeMultivariate logistic regressionPost-discharge eventsOutcomes of interestT-testChi-square testStudent's t-testAnesthesiologists classUnplanned reoperationHospital stayPostoperative complicationsThromboembolic eventsAdult patients