Incidence and Risk Factors for Major Hematomas in Aesthetic Surgery: Analysis of 129,007 Patients
| Autor: | Konrad Sarosiek, James C. Grotting, K. Kye Higdon, Julian Winocour, Nishant Ganesh Kumar, Blair A Wormer, Varun Gupta, Christopher Tokin, Christodoulos Kaoutzanis |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Reoperation medicine.medical_specialty Adolescent 030230 surgery 03 medical and health sciences Young Adult 0302 clinical medicine Hematoma Postoperative Complications Sex Factors Risk Factors Medicine Humans Prospective Studies Young adult Prospective cohort study Child Aged Aged 80 and over business.industry Incidence (epidemiology) Incidence Age Factors General Medicine Middle Aged Plastic Surgery Procedures medicine.disease Surgery Hospitalization 030220 oncology & carcinogenesis Cohort Multivariate Analysis Body region Female business Complication Emergency Service Hospital Body mass index |
| Zdroj: | Aesthetic surgery journal. 37(10) |
| ISSN: | 1527-330X |
| Popis: | Postoperative hematomas are one of the most frequent complications following aesthetic surgery. Identifying risk factors for hematoma has been limited by underpowered studies from single institution experiences.To examine the incidence and identify independent risk factors for postoperative hematomas following cosmetic surgery utilizing a prospective, multicenter database.A prospectively enrolled cohort of patients who underwent aesthetic surgery between 2008 and 2013 was identified from the CosmetAssure database. Primary outcome was occurrence of major hematomas requiring emergency room visit, hospital admission, or reoperation within 30 days of the index operation. Univariate and multivariate analysis was used to identify potential risk factors for hematomas including age, gender, body mass index (BMI), smoking, diabetes, type of surgical facility, procedure by body region, and combined procedures.Of 129,007 patients, 1180 (0.91%) had a major hematoma. Mean age (42.0 ± 13.0 years vs 40.9 ± 13.9 years, P0.01) and BMI (24.5 ± 5.0 kg/m2 vs 24.3 ± 4.6 kg/m2, P0.01) were higher in patients with hematomas. Males suffered more hematomas than females (1.4% vs 0.9%, P0.01). Hematoma rates were higher in patients undergoing combined procedures compared to single procedures (1.1% vs 0.8%, P0.01), and breast procedures compared to body/extremity or face procedures (1.0% vs 0.8% vs 0.7%, P0.01). On multivariate analysis, independent predictors of hematoma included age (Relative Risk [RR] 1.01), male gender (RR 1.98), the procedure being performed in a hospital setting rather than an office-based setting (RR 1.68), combined procedures (RR 1.35), and breast procedures rather than the body/extremity and face procedures (RR 1.81).Major hematoma is the most common complication following aesthetic surgery. Male patients and those undergoing breast or combined procedures have a significantly higher risk of developing hematomas.2. |
| Databáze: | OpenAIRE |
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