Association between hypertension requiring medication and 30-day outcomes in head and neck microvascular surgery.
Head Neck
; 44(1): 168-176, 2022 01.
Article
en En
| MEDLINE
| ID: mdl-34704643
ABSTRACT
BACKGROUND:
Hypertension has been shown to be both a protective factor and a risk factor for complications in head and neck reconstructive surgery.METHODS:
Retrospective analysis of microvascular free tissue transfer patients using the National Surgical Quality Improvement Program database.RESULTS:
Hypertensive patients (n = 1598; 46.9%) had a significantly higher rate of complications, including pneumonia (p < 0.001), myocardial infarction (p = 0.003), and intra/post-operative transfusion (p < 0.001). In a multivariable model, hypertension was associated with returning to the operating room (OR = 1.45 [95% CI 1.20, 1.76], p < 0.001), post-operative medical complications (OR = 1.53 [95% CI 1.24, 1.90], p < 0.001), and surgical complications (OR = 1.17 [95% CI 1.00, 1.37], p = 0.047). However, no difference in 30-day readmission was found (p > 0.05).CONCLUSIONS:
Hypertension is a modifiable risk factor for post-operative complications in head and neck free tissue transfer, in which prospective studies are required to establish causation. This study may serve as an impetus for proactive recommendations to manage hypertension before undergoing head and neck microvascular surgery.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Procedimientos de Cirugía Plástica
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Colgajos Tisulares Libres
/
Neoplasias de Cabeza y Cuello
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Hipertensión
Tipo de estudio:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Idioma:
En
Revista:
Head Neck
Asunto de la revista:
NEOPLASIAS
Año:
2022
Tipo del documento:
Article