Predictors of Postoperative Complications After Paramedian Forehead Flaps.
Facial Plast Surg Aesthet Med
; 23(6): 469-475, 2021 12.
Article
em En
| MEDLINE
| ID: mdl-33847523
ABSTRACT
Importance The predictors of postoperative complications after paramedian forehead flaps (PMFF) are unknown. Objective:
To determine whether preoperative factors can predict post-PMFF complications. Design, Setting,Participants:
A retrospective review of 1438 adults from the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database who underwent PMFF between 2010 and 2018. Main Outcomes andMeasures:
Surgical complications, medical complications, and all-cause mortality.Results:
Of the 1438 patients, 75 experienced postoperative complications (5.2%). Of these, 36 developed isolated surgical complications (2.5%), 29 developed isolated medical complications (2.0%), and 8 developed concurrent surgical and medical complications (0.5%). Of the three mortalities (0.2%), one patient developed concurrent surgical and medical complications. A dirty or infected wound classification was the strongest predictor of postoperative complications (odds ratio [OR] 13.5; confidence interval [95% CI] 3.4-49.5). In contrast, the likelihood of postoperative complications decreased significantly with outpatient procedures (OR 0.4; 95% CI 0.2-0.8). Conclusions and Relevance A dirty or infected wound classification is the strongest predictor of postoperative complications after PMFF.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
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Retalhos Cirúrgicos
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Procedimentos de Cirurgia Plástica
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Testa
Tipo de estudo:
Etiology_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adolescent
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Adult
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Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Facial Plast Surg Aesthet Med
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Estados Unidos