Abraham et al identified risk factors for morbidity and mortality following thyroid surgery. This study was based on data in the American College of Surgeons National Surgical Quality Improvement Program (NSQIP). The authors are from the Albany Medical College in New York.


Patient selection: thyroid surgery


Outcomes: 30-day mortality, pulmonary complications (reintubation, pulmonary embolism, COPD exacerbation, etc), cardiovascular (AMI, CHF, cardiac arrest), infectious (pneumonia, surgical site, UTI), neurological (stroke), renal (acute renal failure), other (bleeding, deep vein thrombosis)


Risk factors for morbidity and mortality:

(1) age > 70 years

(2) hypertension

(3) diabetes mellitus

(4) therapy with corticosteroids

(5) COPD

(6) renal dialysis (inferring significant renal dysfunction)

(7) substernal thyroidectomy


The patient's risk increases with the number of these risk factors present.


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