Preoperative Anemia and Postoperative Outcomes in Immediate Breast Reconstructive Surgery: A Critical Analysis of 10,958 Patients from the ACS-NSQIP Database

Autor: Karim A. Sarhane, MD, MSc, José M. Flores, MPH, Carisa M. Cooney, MPH, Francis M. Abreu, BS, Marcelo Lacayo, MD, Pablo A. Baltodano, MD, Zuhaib Ibrahim, MD, Mohammed Alrakan, MD, Gerald Brandacher, MD, Gedge D. Rosson, MD
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: Plastic and Reconstructive Surgery, Global Open, Vol 1, Iss 5, p e30 (2013)
Druh dokumentu: article
ISSN: 2169-7574
DOI: 10.1097/GOX.0b013e3182a18c6f
Popis: Background: Preoperative anemia is independently associated with adverse outcomes after general and cardiac surgery. Outcomes after breast reconstruction are not established. We assessed the effect of preoperative anemia on 30-day postoperative morbidity and length of hospital stay (LOS) in patients undergoing immediate breast reconstruction. Methods: We identified patients undergoing immediate breast reconstruction from 2008 to 2010 from the American College of Surgeons’ National Surgical Quality Improvement Program database (a prospective outcomes-based registry from hospitals worldwide). De-identified data were obtained for demographics, preoperative risk factors, 30-day morbidity, and LOS. Morbidity variables included flap/graft/prosthesis, cardiac, respiratory, neurological, urinary, wound, and venous thromboembolism outcomes. Logistic regression assessed the crude and adjusted effect of anemia (hematocrit
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