Background: The benefit of drains remains unclear and variable among thyroid surgeons. This study examines the utility and trend in drain use after thyroidectomy.
Method: This is a retrospective cross-sectional study utilizing a pooled sample of thyroidectomy patients from the 2016-2019 NSQIP. The impact of drain use on outcomes of interest (rate of postoperative neck hematoma (PNH)-primary outcome, and length-of-stay (LOS)-secondary outcome), as well as year-over-year and practice variations were evaluated using inverse-probability-weighted-regression adjustment and multivariable logistic regression analyses.
Results: Of 24,370 patients, 6673(27.4 %) received drains. The average LOS and PNH rates were 27.3 h and 1.87 %, respectively. Drain use increased year-over-year for concomitant neck dissections (OR = 1.08,p = 0.002). Year-over-year odds of drain use trended down across specialties (OR = 0.96,p = 0.005); however, ENT used drains more frequently than General Surgeons (RR = 3.06, 95%CI = 2.91-3.22). Drains were associated with longer LOS (mean-difference = 9.6hrs, 95%CI 8.51-10.62) with no effect on PNH rates (RR = 0.96,p < 0.05).
Conclusion: Drain use is decreasing, but practice variations across specialties persist. Post-thyroidectomy drain use was associated with longer LOS with no effect on PNHR.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.amjsurg.2024.115998 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Identifying factors that underpin student decisions to pursue the Doctor of Pharmacy degree at Atlantic Canadian Universities: Protocol for a mixed methods study.
PLoS One
January 2025
Faculty of Education, Memorial University, St. John's, NL, Canada.
Several international studies have investigated academic decision-making in higher education, but there is limited research on students' choice to study pharmacy in the Canadian context. While there is some variation across jurisdictions, decisions to enroll in a particular degree program fall into several decision-making domains (e.g.
View Article and Find Full Text PDFAI enabled, mobile soil pH classification with colorimetric paper sensors for sustainable agriculture.
PLoS One
January 2025
IBM Research, Rio de Janeiro, Brazil.
For optimizing production yield while limiting negative environmental impact, sustainable agriculture benefits from real-time, on-the-spot chemical analysis of soil at low cost. Colorimetric paper sensors are ideal candidates, however, their automated readout and analysis in the field is needed. Using mobile technology for paper sensor readout could, in principle, enable the application of machine-learning models for transforming colorimetric data into threshold-based classes that represent chemical concentration.
View Article and Find Full Text PDFModeling of lifetime scenarios with non-monotonic failure rates.
PLoS One
January 2025
Mathematics and Computer Science Department, Faculty of Science, Beni-Suef University, Beni-Suef, Egypt.
The Weibull distribution is an important continuous distribution that is cardinal in reliability analysis and lifetime modeling. On the other hand, it has several limitations for practical applications, such as modeling lifetime scenarios with non-monotonic failure rates. However, accurate modeling of non-monotonic failure rates is essential for achieving more accurate predictions, better risk management, and informed decision-making in various domains where reliability and longevity are critical factors.
View Article and Find Full Text PDFRecycled Phosphorus Bioamendments from Wastewater Impact Rhizomicrobiome and Benefit Crop Growth: Sustainability Implications at Water-Food Nexus.
Environ Sci Technol
January 2025
School of Civil and Environmental Engineering, Cornell University, Ithaca, New York 14853, United States.
Phosphorus recovery through enhanced biological phosphorus removal (EBPR) processes from agricultural wastes holds promise in mitigating the impending global P shortage. However, the complex nutrient forms and the microbial augments, expected to exert a profound impact on crop rhizomicrobiome and thus crop health, remained unexplored. In this study, we investigated the impacts of EBPR biosolids on crops growth and rhizomicrobiome in comparison to chemical fertilizer and Vermont manure compost.
View Article and Find Full Text PDF"We Want to Well Outlive Us": Behind the Dissemination and Sustainability of in Australia.
Qual Health Res
January 2025
Menzies Institute for Medical Research, University of Tasmania, Hobart, TAS, Australia.
is a free, weekly organized mass participation physical activity event providing a remarkable example of at-scale dissemination, with over 1 million participants and 150,000 volunteers in Australia. This qualitative study draws on stakeholders' experiences to explore how succeeded with its dissemination and sustainability in Australia. Maximum variation and snowball sampling methods were used to select interviewees representing three stakeholder groups: Australia employees; volunteer organizers (event directors and ambassadors); and local external stakeholders (e.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!