Post-thyroidectomy emergency room visits and readmissions: Assessment from the Collaborative Endocrine Surgery Quality Improvement Program (CESQIP)

Am J Surg. 2020 Oct;220(4):813-820. doi: 10.1016/j.amjsurg.2020.02.036. Epub 2020 Feb 19.


Background: This study analyzed independent factors associated with post-thyroidectomy Emergency Room (ER) visits and Hospital Readmissions (HR).

Methods: This is a retrospective review from the CESQIP registry of 8381 thyroidectomy patients by 173 surgeons at 46 institutions. A total of 7142 ER visits and 7265 HR were analyzed. Multivariable logistic regression analysis was performed to determine the risk factors for an ER visit or HR.

Results: Within 30-days of surgery, rates of all ER visits were 3.4% (n = 250) and all HR were 2.3% (n = 170). Hypocalcemia was the reason for 21.9% of ER encounters and 36.4% of HR. BMI >40 kg/m2 was a risk factor for both ER visit (OR1.86) and HR (OR1.94). Surgical duration >3 h (OR2.63), and transection of recurrent laryngeal nerve (OR4.58) were risk factors for HR.

Conclusions: Strategies to decrease hypocalcemia and improve perioperative care of patients with BMI >40 kg/m2 may improve post-thyroidectomy outcome.

Keywords: Emergency room visits; Outcomes; Quality; Readmissions; Thyroidectomy.

MeSH terms

  • Adult
  • Aged
  • Emergency Service, Hospital / statistics & numerical data*
  • Facilities and Services Utilization / statistics & numerical data*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Patient Readmission / statistics & numerical data*
  • Postoperative Complications / epidemiology*
  • Quality Improvement
  • Retrospective Studies
  • Risk Factors
  • Thyroidectomy*
  • United States