Incidence and impact of adverse effects of medical care on complications in patients who underwent excision of cervical lymph nodes

Veerasathpurush Allareddy; Satheesh Elangovan; Steven L Fletcher; Vivek Subbiah; Sankeerth Rampa; Romesh Nalliah; Min Kyeong Lee; Veerajalandhar Allareddy

doi:10.1016/j.oooo.2014.04.015

Incidence and impact of adverse effects of medical care on complications in patients who underwent excision of cervical lymph nodes

Oral Surg Oral Med Oral Pathol Oral Radiol. 2014 Sep;118(3):271-7. doi: 10.1016/j.oooo.2014.04.015. Epub 2014 May 14.

Authors

Veerasathpurush Allareddy¹, Satheesh Elangovan², Steven L Fletcher³, Vivek Subbiah⁴, Sankeerth Rampa⁵, Romesh Nalliah⁶, Min Kyeong Lee⁷, Veerajalandhar Allareddy⁸

Affiliations

¹ Associate Professor, University of Iowa College of Dentistry, Iowa City, IA, USA. Electronic address: [email protected].
² Assistant Professor, Department of Periodontics, University of Iowa College of Dentistry, Iowa City, IA, USA.
³ Assistant Professor and Residency Program Director, Department of Oral and Maxillofacial Surgery, University of Iowa, Iowa City, IA, USA.
⁴ Assistant Professor, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
⁵ Graduate student, Texas A&M University Health Science Center School of Rural Public Health, College Station, TX, USA.
⁶ Instructor, Department of Global Health, Harvard School of Dental Medicine, Boston, MA, USA.
⁷ Advanced graduate student, Department of Developmental Biology, Harvard School of Dental Medicine, Boston, MA, USA.
⁸ Assistant Professor, Department of Pediatric Critical Care, Case Western Reserve University School of Medicine, Cleveland, OH, USA.

PMID: 24984810
DOI: 10.1016/j.oooo.2014.04.015

Abstract

Objective: To determine the prevalence and impact of adverse effects of medical care in patients who underwent excision of cervical lymph nodes.

Study design: Data from the Nationwide Inpatient Sample for the years 2009 and 2010 were used. The outcome variables were complications. The independent variables were occurrence of adverse effects of medical care and adverse effects of drugs/medication used in therapeutic use during hospitalization.

Results: A total of 48,413 hospitalizations involved excision of cervical lymph nodes. The mean age was 59 years. Males constituted 64.2% of hospitalizations. Adverse effects of medical care occurred in 9.5% of hospitalizations, and adverse effects due to therapeutic use of medications occurred in 1.8%. Frequently occurring complications included postoperative pneumonia (4.2%), hemorrhagic complications (3.5%), other infections (1.7%), cardiac complications (1.5%), bacterial infections (1.5%), respiratory complications (1.4%), nonhealing wounds (1.3%), septicemia (1.2%), and mycoses (1.2%).

Conclusions: Occurrence of adverse effects of medical care was associated with high odds for multiple complications.

MeSH terms

Drug-Related Side Effects and Adverse Reactions / epidemiology
Female
Humans
Iatrogenic Disease / epidemiology
Incidence
Lymph Node Excision*
Male
Middle Aged
Neck / surgery*
Postoperative Complications / epidemiology*
Prevalence
Risk Factors
United States / epidemiology