Analysis of Otolaryngologic Readmissions at a High-Volume Quaternary Referral Center

Neal R. Godse, Carl H. Snyderman

Research output: Contribution to journalArticlepeer-review


Objectives: To identify common reasons for readmission following otolaryngologic surgery at a high-volume center and identify possible risk factors for readmission. Methods: Retrospective chart review of readmissions identified by hospital-based electronic medical record reporting mechanism. Results: From January 2019 to September 2020, there were 87 readmissions following 808 index surgeries. The most common reason for readmission was for planned surgery (23%), followed by post-operative neck infection, bleeding, or pneumonia. Patients with unplanned readmissions had significantly longer index admission duration than patients who were not readmitted (median 7 days vs. median 5 days, resp.; p = 0.0056). Analysis of cases of unplanned readmission for neck infection and bleeding identified the oral cavity/pharynx as the most common site of initial surgery and that a majority of patients had a history of radiation therapy. Conclusion: Neck infection, bleeding, and pneumonia were the most common reasons for unplanned readmission following otolaryngologic surgery, and a large portion of patients required additional procedures during readmission. Unplanned readmissions for bleeding were significantly more costly than readmissions for neck infections. Long-index hospitalizations, index surgery involving the oral cavity and pharynx, and a history of radiation therapy may be useful clinical features that could stratify the risk of readmission. Level of Evidence: 4, retrospective chart review Laryngoscope, 133:2546–2552, 2023.

Original languageEnglish (US)
Pages (from-to)2546-2552
Number of pages7
Issue number10
StatePublished - Oct 2023
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2023 The American Laryngological, Rhinological and Otological Society, Inc.


  • otolaryngology
  • pneumonia
  • post-operative infection
  • readmissions

PubMed: MeSH publication types

  • Journal Article


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