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Readmission after orthognathic surgery.

Jaegak Kim1, Andrew Henry1, Amelia Wilson2

  • 1Department of Oral and Maxillofacial Surgery, Boston University Henry M. Goldman School of Dental Medicine, Boston, MA, USA; Boston Medical Center, Boston, MA, USA.

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|June 14, 2023
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Summary
This summary is machine-generated.

The readmission rate after orthognathic surgery is 9.70%. American Society of Anesthesiologists (ASA) status and initial hospitalization duration are key risk factors for readmission within the first postoperative year.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Surgical Outcomes Research

Background:

  • Orthognathic surgery aims to correct jaw discrepancies, but patient readmission rates and associated risk factors require further investigation.
  • Understanding predictors of readmission is crucial for improving patient care and optimizing surgical outcomes.

Purpose of the Study:

  • To determine the readmission rate following orthognathic surgery.
  • To identify significant risk factors associated with unexpected hospital admissions within the first postoperative year.

Main Methods:

  • A retrospective analysis was conducted on 701 patients who underwent orthognathic surgery.
  • Data collected included patient demographics, surgical details, and American Society of Anesthesiologists (ASA) status.
  • Statistical analyses, including Chi-square, Fisher's Exact, and t-tests, were used to identify associations with readmission.

Main Results:

  • The overall readmission rate was 9.70%.
  • Common reasons for readmission included infection (non-surgical) and hardware removal (requiring operating room procedures).
  • Age, sex, surgical type, third molar extraction, genioplasty, surgery duration, and assistant experience were not significant predictors of readmission.

Conclusions:

  • American Society of Anesthesiologists (ASA) classification and the duration of initial hospitalization emerged as significant risk factors for readmission.
  • These factors can aid in identifying high-risk patients and potentially mitigating readmission after orthognathic procedures.