Association between hypertension requiring medication and 30‐day outcomes in head and neck microvascular surgery
| Autor: | Brandon Prendes, Xuefei Jia, Eric Lamarre, Patrick J. Byrne, Philip R. Brauer, Peter J. Ciolek, Jamie A. Ku |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Reconstructive surgery business.industry Protective factor Free flap Plastic Surgery Procedures medicine.disease Free Tissue Flaps Surgery Patient safety Pneumonia Postoperative Complications Otorhinolaryngology Head and Neck Neoplasms Hypertension medicine Humans Risk factor Prospective cohort study business Retrospective Studies |
| Zdroj: | Head & Neck. 44:168-176 |
| ISSN: | 1097-0347 1043-3074 |
| Popis: | Hypertension has been shown to be both a protective factor and a risk factor for complications in head and neck reconstructive surgery.Retrospective analysis of microvascular free tissue transfer patients using the National Surgical Quality Improvement Program database.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).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. |
| Databáze: | OpenAIRE |
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