Smoking impacts outcomes in transcervical Zenker's diverticulectomy.
Am J Otolaryngol
; 45(4): 104288, 2024.
Article
em En
| MEDLINE
| ID: mdl-38640811
ABSTRACT
PURPOSE:
There is sparse literature discussing the impact of smoking on postoperative outcomes following surgical treatment of Zenker's diverticulum. In this study, we seek to characterize differences in the management and outcomes of open Zenker's diverticulectomy based on patient smoking status. METHODS AND MATERIALS This paper is a retrospective cohort review. The 2005-2018 American College of Surgeons National Surgical Quality Improvement (ACS-NSQIP) database was queried for patients undergoing open Zenker's diverticulectomy. Chi-square and multivariable logistic regression were performed to determine statistical associations between postoperative outcomes and smoking status.RESULTS:
Of the 715 identified patients, 70 (9.8 %) were smokers and 645 (91.2 %) were non-smokers. Smokers were younger than non-smokers (mean 63.9 vs. 71.7 years, p < 0.001) and more likely to have a prolonged operative time (20.0 % vs. 11.6 %, p = 0.044). On multivariable regression analysis controlling for demographics and comorbidities, smokers had greater odds than non-smokers for developing overall postoperative complications (OR 2.776, p = 0.013), surgical infections (OR 3.194, p = 0.039), medical complications (OR 3.563, p = 0.011), and medical infections (OR 1.247, p = 0.016). Smokers also had greater odds for requiring ventilation/intubation (OR 8.508, p = 0.025) and having a prolonged postoperative stay (OR 2.425, p = 0.030).CONCLUSION:
In a cohort of patients undergoing transcervical Zenker's diverticulectomy, smokers are at increased risk for overall complications, medical complications, medical infections, surgical infections, prolonged postoperative stay, and ventilation/intubation.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
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Fumar
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Divertículo de Zenker
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article