Prevalence and predictors of complications following facial reconstruction procedures

Sivaraman Prakasam, K. Stein, M. K. Lee, S. Rampa, R. Nalliah, V. Allareddy, V. Allareddy

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Facial reconstruction procedures are immensely challenging and are done for a multitude of reasons. The purpose of this report is to provide nationally representative estimates of different types of facial reconstructive procedures and to examine prevalence and predictors of a wide range of complications associated with these procedures in the USA. The Nationwide Inpatient Sample, the largest inpatient dataset for the USA, was used. Data for the years 2004-2010 related to facial reconstruction procedures were identified through ICD-9-CM procedure codes. Associated complications were identified using secondary diagnosis field codes. Multivariable logistic regression models were used to examine the association between patient/hospital-level factors and the occurrence of complications. A total 26,374 facial reconstruction procedures were performed. About 20% of all patients who had facial reconstruction procedures developed a complication. Frequently occurring complications included postoperative pneumonia (4.9% of hospitalizations), hemorrhage (3.9%), other infections (3.6%), non-healing wounds (3.5%), and iatrogenically induced complications (3.2%). Significant factors found to be consistently associated with different types of complications included age, co-morbid burden, sex, and type of admission. The reported results are generalizable within limitations and can be used by health care providers to tailor quality improvement initiatives to minimize or better treat complications in the high-risk cohorts.

Original languageEnglish (US)
JournalInternational Journal of Oral and Maxillofacial Surgery
DOIs
StateAccepted/In press - 2016

Fingerprint

Inpatients
Logistic Models
International Classification of Diseases
Quality Improvement
Health Personnel
Pneumonia
Hospitalization
Hemorrhage
Wounds and Injuries
Infection
Datasets

Keywords

  • Complications
  • Facial reconstruction
  • Hospitalizations

ASJC Scopus subject areas

  • Oral Surgery
  • Otorhinolaryngology
  • Surgery

Cite this

Prevalence and predictors of complications following facial reconstruction procedures. / Prakasam, Sivaraman; Stein, K.; Lee, M. K.; Rampa, S.; Nalliah, R.; Allareddy, V.; Allareddy, V.

In: International Journal of Oral and Maxillofacial Surgery, 2016.

Research output: Contribution to journalArticle

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