1 Department of Otolaryngology, Shin Kong Wu-Ho-Su Memorial Hospital, Taipei, Taiwan.
2 Department of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan.
Otolaryngol Head Neck Surg. 2019 Mar;160(3):559-566. doi: 10.1177/0194599818813337. Epub 2018 Nov 27.
To investigate readmissions among adult inpatients who underwent uvulopalatopharyngoplasty (UPPP) in Taiwan.
Population-based survey.
Retrospective study with the National Health Insurance Database.
All cases of inpatient adult UPPP (age >20 years) from 1997 to 2012 were identified through International Classification of Diseases, Ninth Revision, Clinical Modification. Factors associated with readmission within 30 days after surgery were analyzed.
A total of 38,839 adults with UPPP were identified (mean age, 39.3 years; men, 73.7%). The incidence of UPPP was 14.6 per 100 000 adults, which increased from 1997 to 2012 (6.7 to 16.7 per 100,000, P < .001). The rates of readmission for any reason, readmission for bleeding, reoperation for bleeding, and 30-day mortality were 4.2%, 1.7%, 1.0%, and 0.14%, respectively. Young age increased the risk of reoperation for bleeding, and old age increased the risk of readmission for any reason and mortality. Men had an increased risk of readmission and reoperation. Hypertension was associated with an increased risk of readmission for any reason (odds ratio [OR], 1.29; 95% CI, 1.10-1.51), bleeding-related readmission (OR, 1.89; 95% CI, 1.52-2.36), and reoperation (OR, 2.47; 95% CI, 1.84-3.30). Concurrent hypopharyngeal surgery was associated with an increased risk of readmission for any reason (OR, 1.34; 95% CI, 1.07-1.66) and bleeding-related readmission (OR, 1.69; 95% CI, 1.25-2.27). Finally, the use of steroids was associated with an increased risk of bleeding-related readmission and reoperation.
The incidence of adult UPPP increased from 1997 to 2012 in Taiwan. Age, sex, comorbidity, concurrent hypopharyngeal surgery, and drug administration were associated with readmission after inpatient UPPP.
调查在台湾接受悬雍垂腭咽成形术（UPPP）的成年住院患者的再入院情况。
基于人群的调查。
通过国家健康保险数据库进行回顾性研究。
通过国际疾病分类，第九修订版，临床修正版，确定 1997 年至 2012 年所有接受住院成人 UPPP（年龄> 20 岁）的病例。分析与术后 30 天内再入院相关的因素。
共确定 38839 名接受 UPPP 的成年人（平均年龄 39.3 岁；男性占 73.7%）。UPPP 的发病率为每 100000 名成年人中 14.6 例，从 1997 年到 2012 年增加（6.7 至 16.7/100000，P <.001）。任何原因的再入院率、因出血再入院率、因出血再次手术率和 30 天死亡率分别为 4.2%、1.7%、1.0%和 0.14%。年轻会增加因出血再次手术的风险，而年龄较大则会增加因任何原因再入院和死亡的风险。男性的再入院和再次手术风险增加。高血压与任何原因的再入院风险增加相关（比值比[OR]，1.29；95%置信区间，1.10-1.51）、与出血相关的再入院风险增加（OR，1.89；95%置信区间，1.52-2.36）和再次手术风险增加（OR，2.47；95%置信区间，1.84-3.30）。同期下咽手术与任何原因的再入院风险增加（OR，1.34；95%置信区间，1.07-1.66）和与出血相关的再入院风险增加（OR，1.69；95%置信区间，1.25-2.27）相关。最后，使用类固醇与出血相关的再入院和再次手术风险增加相关。
1997 年至 2012 年，台湾成人 UPPP 的发病率有所增加。年龄、性别、合并症、同期下咽手术和药物使用与住院 UPPP 后再入院相关。
