Neck hematoma after major head and neck surgery: Risk factors, costs, and resource utilization

Shivani Shah-Becker, Erin K. Greenleaf, Melissa Boltz, Christopher S. Hollenbeak, Neerav Goyal

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Background: Postoperative cervical hematoma after major head and neck surgery is a feared complication. However, risk factors for developing this complication and attributable costs are not well-established. Methods: The Nationwide Inpatient Sample database was utilized compare patients with and without postoperative cervical hematoma. Logistic regression was used to analyze risk factors for hematoma formation and 30-day mortality. Total inpatient length of stay (LOS) and costs were fit to generalized linear models. Results: Of 32 071 patients, 1098 (3.4%) experienced a postoperative cervical hematoma. Male sex (odds ratio [OR] 1.38; P <.0001), black race (OR 1.35; P =.010), 4 or more comorbidities (OR 1.66; P <.0001), or presence of a preoperative coagulopathy (OR 6.76; P <.0001) were associated. Postoperative cervical hematoma was associated with 540% increased odds of death (P <.0001). The LOS and total excess costs were 5.14 days (P <.0001) and $17 887.40 (P <.0001), respectively. Conclusion: Although uncommon, postoperative cervical hematoma is a life-threatening complication of head and neck surgery with significant implications for outcomes and resource utilization.

Original languageEnglish (US)
Pages (from-to)1219-1227
Number of pages9
JournalHead and Neck
Volume40
Issue number6
DOIs
StatePublished - Jun 2018

All Science Journal Classification (ASJC) codes

  • Otorhinolaryngology

Fingerprint Dive into the research topics of 'Neck hematoma after major head and neck surgery: Risk factors, costs, and resource utilization'. Together they form a unique fingerprint.

Cite this