Accepted Manuscript Impact of intraoperative fluid administration on length of postoperative hospital stay following orthognathic surgery Kyle S. Ettinger, DDS, MD Yavuz Yildirim, DDS, MD James M. Van Ess, DDS, MD Kevin L. Rieck, DDS, MD Christopher F. Viozzi, DDS, MD Kevin Arce, DMD, MD PII:
S0278-2391(14)01243-9
DOI:
10.1016/j.joms.2014.07.029
Reference:
YJOMS 56433
To appear in:
Journal of Oral and Maxillofacial Surgery
Received Date: 5 May 2014 Revised Date:
30 June 2014
Accepted Date: 23 July 2014
Please cite this article as: Ettinger KS, Yildirim Y, Van Ess JM, Rieck KL, Viozzi CF, Arce K, Impact of intraoperative fluid administration on length of postoperative hospital stay following orthognathic surgery, Journal of Oral and Maxillofacial Surgery (2014), doi: 10.1016/j.joms.2014.07.029. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT
Title: Impact of intraoperative fluid administration on length of postoperative hospital stay following orthognathic surgery.
RI PT
Authors: Kyle S. Ettinger, DDS, MD*, Yavuz Yildirim, DDS, MD*, James M. Van Ess, DDS, MD**, Kevin L. Rieck, DDS, MD***, Christopher F. Viozzi, DDS, MD****, Kevin
SC
Arce, DMD, MD*****
*Oral and Maxillofacial Surgery Resident, Mayo Clinic and Mayo College of Medicine,
M AN U
Rochester, MN
**Assistant Professor of Surgery and Consultant Oral and Maxillofacial Surgery, Department of Surgery, Mayo Clinic and Mayo College of Medicine, Rochester, MN ***Former Assistant Professor of Surgery and Consultant Oral and Maxillofacial Surgery,
TE D
Department of Surgery, Mayo Clinic and Mayo College of Medicine, Rochester, MN ****Assistant Professor of Surgery and Program Chair Oral and Maxillofacial Surgery, Department of Surgery, Mayo Clinic and Mayo College of Medicine, Rochester, MN
EP
*****Assistant Professor of Surgery and Program Director Oral and Maxillofacial
MN
AC C
Surgery, Department of Surgery, Mayo Clinic and Mayo College of Medicine, Rochester,
Correspondence
Kyle S Ettinger, DDS, MD Department of Surgery Mayo Clinic Rochester Division of Oral and Maxillofacial Surgery
ACCEPTED MANUSCRIPT
Mail Code: ro_ma_12_12eres 200 First Street S.W
RI PT
Rochester, MN 55905
AC C
EP
TE D
M AN U
SC
Email: [email protected]
ACCEPTED MANUSCRIPT
Abstract Purpose: The purpose of this study was to evaluate whether or not the volume of intraoperative
RI PT
fluids administered to patients during routine orthognathic surgery is associated with increased length of hospital stay for postoperative convalescence.
Materials and Methods: A retrospective cohort study design was utilized to identify 168 patients
SC
undergoing routine orthognathic surgery at Mayo Clinic from 2010-2014. The primary predictor variable was total volume of intravenous fluids administered during orthognathic surgery. The
M AN U
primary outcome variable was the length of hospital stay in hours as measured from the completion of the procedure to patient dismissal from the hospital. Additional covariates were collected including patient demographic data, preoperative ASA score, type of intravenous fluid administered, complexity of surgical procedure, and duration of anesthesia.
TE D
Results: In univariate analysis total fluid was significantly associated with increased length of stay (OR = 1.82, 95% CI: 1.42-2.33, p
S0278-2391(14)01243-9
DOI:
10.1016/j.joms.2014.07.029
Reference:
YJOMS 56433
To appear in:
Journal of Oral and Maxillofacial Surgery
Received Date: 5 May 2014 Revised Date:
30 June 2014
Accepted Date: 23 July 2014
Please cite this article as: Ettinger KS, Yildirim Y, Van Ess JM, Rieck KL, Viozzi CF, Arce K, Impact of intraoperative fluid administration on length of postoperative hospital stay following orthognathic surgery, Journal of Oral and Maxillofacial Surgery (2014), doi: 10.1016/j.joms.2014.07.029. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT
Title: Impact of intraoperative fluid administration on length of postoperative hospital stay following orthognathic surgery.
RI PT
Authors: Kyle S. Ettinger, DDS, MD*, Yavuz Yildirim, DDS, MD*, James M. Van Ess, DDS, MD**, Kevin L. Rieck, DDS, MD***, Christopher F. Viozzi, DDS, MD****, Kevin
SC
Arce, DMD, MD*****
*Oral and Maxillofacial Surgery Resident, Mayo Clinic and Mayo College of Medicine,
M AN U
Rochester, MN
**Assistant Professor of Surgery and Consultant Oral and Maxillofacial Surgery, Department of Surgery, Mayo Clinic and Mayo College of Medicine, Rochester, MN ***Former Assistant Professor of Surgery and Consultant Oral and Maxillofacial Surgery,
TE D
Department of Surgery, Mayo Clinic and Mayo College of Medicine, Rochester, MN ****Assistant Professor of Surgery and Program Chair Oral and Maxillofacial Surgery, Department of Surgery, Mayo Clinic and Mayo College of Medicine, Rochester, MN
EP
*****Assistant Professor of Surgery and Program Director Oral and Maxillofacial
MN
AC C
Surgery, Department of Surgery, Mayo Clinic and Mayo College of Medicine, Rochester,
Correspondence
Kyle S Ettinger, DDS, MD Department of Surgery Mayo Clinic Rochester Division of Oral and Maxillofacial Surgery
ACCEPTED MANUSCRIPT
Mail Code: ro_ma_12_12eres 200 First Street S.W
RI PT
Rochester, MN 55905
AC C
EP
TE D
M AN U
SC
Email: [email protected]
ACCEPTED MANUSCRIPT
Abstract Purpose: The purpose of this study was to evaluate whether or not the volume of intraoperative
RI PT
fluids administered to patients during routine orthognathic surgery is associated with increased length of hospital stay for postoperative convalescence.
Materials and Methods: A retrospective cohort study design was utilized to identify 168 patients
SC
undergoing routine orthognathic surgery at Mayo Clinic from 2010-2014. The primary predictor variable was total volume of intravenous fluids administered during orthognathic surgery. The
M AN U
primary outcome variable was the length of hospital stay in hours as measured from the completion of the procedure to patient dismissal from the hospital. Additional covariates were collected including patient demographic data, preoperative ASA score, type of intravenous fluid administered, complexity of surgical procedure, and duration of anesthesia.
TE D
Results: In univariate analysis total fluid was significantly associated with increased length of stay (OR = 1.82, 95% CI: 1.42-2.33, p
