Systemic Outcomes in Adults Undergoing Emergent Repair of Orbital Blowout Fractures

Owais M. Aftab; Avneet Randhawa; Karandeep S. Randhawa; Imran M. Khawaja; Keshav Kumar; Paul D. Langer; Jean Anderson Eloy; Christina H. Fang

doi:10.1007/s12070-024-04681-0

Systemic Outcomes in Adults Undergoing Emergent Repair of Orbital Blowout Fractures

Owais M. Aftab, Avneet Randhawa, Karandeep S. Randhawa, Imran M. Khawaja, Keshav Kumar, Paul D. Langer, Jean Anderson Eloy, Christina H. Fang

New Jersey Medical School (NJMS), Otalaryngology - Head and Neck Surgery

Rutgers, The State University

Research output: Contribution to journal › Article › peer-review

Abstract

Purpose: To analyze the association between emergent surgery status and systemic adverse outcomes in patients undergoing open orbital floor blowout fracture repair. Methods: This retrospective cohort analysis utilized the 2005–2018 National Surgery Quality Improvement Program (NSQIP) database. Current Procedural Terminology (CPT) codes were used to identify cases with open treatment of orbital floor blowout fractures (21385, 21386, 21387, 21390, 21395). Demographics, comorbidities, and complication incidences were compared between patients undergoing emergent surgery and those undergoing non-emergent orbital blowout fracture repair using chi-square analyses. The independent effect of preoperative emergent status on adverse outcomes was analyzed using binary logistic regression. Results: 1,146 (96.0%) non-emergent and 48 (4.0%) emergent orbital blowout fracture repairs were identified from 2005 to 2018. Chi-square analysis indicated patients undergoing emergent repairs had higher incidences of preoperative wound infection (8.3% vs. 2.3%; p = 0.029) and systemic sepsis (8.3% vs. 0.6%; p = 0.001). The emergent cohort had a higher proportion of patients with Hispanic ethnicity (p = 0.011). Unadjusted chi-square analysis indicated the emergent cohort had a higher incidence of prolonged length of stay (50.1% vs. 10.1%; p < 0.001). After adjusting for confounders, logistic regression analysis indicated emergent status was an independent risk factor for prolonged length of stay (OR 13.05; 95% CI 5.26–32.37; p < 0.001). Conclusion: Emergent surgery status is an important factor associated with increased odds of prolonged length of stay in patients undergoing open orbital blowout fracture repair.

Original language	American English
Pages (from-to)	3323-3329
Number of pages	7
Journal	Indian Journal of Otolaryngology and Head and Neck Surgery
Volume	76
Issue number	4
DOIs	https://doi.org/10.1007/s12070-024-04681-0
State	Published - Aug 2024

ASJC Scopus subject areas

Surgery
Otorhinolaryngology

Keywords

Emergent repair
NSQIP
Orbital blowout fractures
Postoperative outcomes
Systemic outcomes

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10.1007/s12070-024-04681-0

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@article{b0d09e825bfa470ea1f299ad599f057e,

title = "Systemic Outcomes in Adults Undergoing Emergent Repair of Orbital Blowout Fractures",

abstract = "Purpose: To analyze the association between emergent surgery status and systemic adverse outcomes in patients undergoing open orbital floor blowout fracture repair. Methods: This retrospective cohort analysis utilized the 2005–2018 National Surgery Quality Improvement Program (NSQIP) database. Current Procedural Terminology (CPT) codes were used to identify cases with open treatment of orbital floor blowout fractures (21385, 21386, 21387, 21390, 21395). Demographics, comorbidities, and complication incidences were compared between patients undergoing emergent surgery and those undergoing non-emergent orbital blowout fracture repair using chi-square analyses. The independent effect of preoperative emergent status on adverse outcomes was analyzed using binary logistic regression. Results: 1,146 (96.0%) non-emergent and 48 (4.0%) emergent orbital blowout fracture repairs were identified from 2005 to 2018. Chi-square analysis indicated patients undergoing emergent repairs had higher incidences of preoperative wound infection (8.3% vs. 2.3%; p = 0.029) and systemic sepsis (8.3% vs. 0.6%; p = 0.001). The emergent cohort had a higher proportion of patients with Hispanic ethnicity (p = 0.011). Unadjusted chi-square analysis indicated the emergent cohort had a higher incidence of prolonged length of stay (50.1% vs. 10.1%; p < 0.001). After adjusting for confounders, logistic regression analysis indicated emergent status was an independent risk factor for prolonged length of stay (OR 13.05; 95% CI 5.26–32.37; p < 0.001). Conclusion: Emergent surgery status is an important factor associated with increased odds of prolonged length of stay in patients undergoing open orbital blowout fracture repair.",

keywords = "Emergent repair, NSQIP, Orbital blowout fractures, Postoperative outcomes, Systemic outcomes",

author = "Aftab, {Owais M.} and Avneet Randhawa and Randhawa, {Karandeep S.} and Khawaja, {Imran M.} and Keshav Kumar and Langer, {Paul D.} and Eloy, {Jean Anderson} and Fang, {Christina H.}",

note = "Publisher Copyright: {\textcopyright} The Author(s) 2024.",

year = "2024",

month = aug,

doi = "10.1007/s12070-024-04681-0",

language = "American English",

volume = "76",

pages = "3323--3329",

journal = "Indian Journal of Otolaryngology and Head and Neck Surgery",

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publisher = "Springer",

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T1 - Systemic Outcomes in Adults Undergoing Emergent Repair of Orbital Blowout Fractures

AU - Aftab, Owais M.

AU - Randhawa, Avneet

AU - Randhawa, Karandeep S.

AU - Khawaja, Imran M.

AU - Kumar, Keshav

AU - Langer, Paul D.

AU - Eloy, Jean Anderson

AU - Fang, Christina H.

N1 - Publisher Copyright: © The Author(s) 2024.

PY - 2024/8

Y1 - 2024/8

N2 - Purpose: To analyze the association between emergent surgery status and systemic adverse outcomes in patients undergoing open orbital floor blowout fracture repair. Methods: This retrospective cohort analysis utilized the 2005–2018 National Surgery Quality Improvement Program (NSQIP) database. Current Procedural Terminology (CPT) codes were used to identify cases with open treatment of orbital floor blowout fractures (21385, 21386, 21387, 21390, 21395). Demographics, comorbidities, and complication incidences were compared between patients undergoing emergent surgery and those undergoing non-emergent orbital blowout fracture repair using chi-square analyses. The independent effect of preoperative emergent status on adverse outcomes was analyzed using binary logistic regression. Results: 1,146 (96.0%) non-emergent and 48 (4.0%) emergent orbital blowout fracture repairs were identified from 2005 to 2018. Chi-square analysis indicated patients undergoing emergent repairs had higher incidences of preoperative wound infection (8.3% vs. 2.3%; p = 0.029) and systemic sepsis (8.3% vs. 0.6%; p = 0.001). The emergent cohort had a higher proportion of patients with Hispanic ethnicity (p = 0.011). Unadjusted chi-square analysis indicated the emergent cohort had a higher incidence of prolonged length of stay (50.1% vs. 10.1%; p < 0.001). After adjusting for confounders, logistic regression analysis indicated emergent status was an independent risk factor for prolonged length of stay (OR 13.05; 95% CI 5.26–32.37; p < 0.001). Conclusion: Emergent surgery status is an important factor associated with increased odds of prolonged length of stay in patients undergoing open orbital blowout fracture repair.

AB - Purpose: To analyze the association between emergent surgery status and systemic adverse outcomes in patients undergoing open orbital floor blowout fracture repair. Methods: This retrospective cohort analysis utilized the 2005–2018 National Surgery Quality Improvement Program (NSQIP) database. Current Procedural Terminology (CPT) codes were used to identify cases with open treatment of orbital floor blowout fractures (21385, 21386, 21387, 21390, 21395). Demographics, comorbidities, and complication incidences were compared between patients undergoing emergent surgery and those undergoing non-emergent orbital blowout fracture repair using chi-square analyses. The independent effect of preoperative emergent status on adverse outcomes was analyzed using binary logistic regression. Results: 1,146 (96.0%) non-emergent and 48 (4.0%) emergent orbital blowout fracture repairs were identified from 2005 to 2018. Chi-square analysis indicated patients undergoing emergent repairs had higher incidences of preoperative wound infection (8.3% vs. 2.3%; p = 0.029) and systemic sepsis (8.3% vs. 0.6%; p = 0.001). The emergent cohort had a higher proportion of patients with Hispanic ethnicity (p = 0.011). Unadjusted chi-square analysis indicated the emergent cohort had a higher incidence of prolonged length of stay (50.1% vs. 10.1%; p < 0.001). After adjusting for confounders, logistic regression analysis indicated emergent status was an independent risk factor for prolonged length of stay (OR 13.05; 95% CI 5.26–32.37; p < 0.001). Conclusion: Emergent surgery status is an important factor associated with increased odds of prolonged length of stay in patients undergoing open orbital blowout fracture repair.

KW - Emergent repair

KW - NSQIP

KW - Orbital blowout fractures

KW - Postoperative outcomes

KW - Systemic outcomes

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U2 - 10.1007/s12070-024-04681-0

DO - 10.1007/s12070-024-04681-0

M3 - Article

SN - 2231-3796

VL - 76

SP - 3323

EP - 3329

JO - Indian Journal of Otolaryngology and Head and Neck Surgery

JF - Indian Journal of Otolaryngology and Head and Neck Surgery

IS - 4

ER -

Systemic Outcomes in Adults Undergoing Emergent Repair of Orbital Blowout Fractures

Abstract

ASJC Scopus subject areas

Keywords

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