کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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4119936 | 1270364 | 2012 | 6 صفحه PDF | دانلود رایگان |
SummaryThe American College of Surgeons National Surgical Quality Improvement Program (NSQIP) is a prospective, multi-institutional clinical registry established as an auditing instrument to monitor and improve patient care in surgery. To date no publication has queried the NSQIP dataset from a plastic surgery perspective. A retrospective analysis was carried out of all delayed breast reconstruction cases recorded by the NSQIP from 2005 to 2008 (n = 645). The 30-day morbidity was 5.7%, with wound infections being the most common complication. Logistic regression analysis identified BMI >25 and preoperative radiotherapy as independent risk factors for overall morbidity and wound infection. The NSQIP does not allow for capture of procedure-specific outcomes and this results in underreporting of overall morbidity compared to the literature; this may limit the capability to assess risk factors for complications. As breast reconstruction modules for NSQIP are currently under development, modifications to capture procedure-specific outcomes are recommended.
Journal: Journal of Plastic, Reconstructive & Aesthetic Surgery - Volume 65, Issue 3, March 2012, Pages 289–294