ANALYSIS OF RISK FACTORS ASSOCIATED WITH MICROVASCULAR FREE FLAP FAILURE USING A MULTI-INSTITUTIONAL DATABASE
ANALYSIS OF RISK FACTORS ASSOCIATED WITH MICROVASCULAR FREE FLAP FAILURE USING A MULTI-INSTITUTIONAL DATABASE
复制标题
DOI：
10.1002/micr.22223
复制
发表时间：
2015-01-01
期刊：
影响因子：
2.1
通讯作者：
Urata, Mark M.
中科院分区：
文献类型：
--
作者：
Wong, Alex K.;Nguyen, T. Joanna;Urata, Mark M.
背景微血管游离皮瓣的失败原因很多。虽然技术问题是主要因素，但患者和临床特征也是影响因素。本研究的目的是调查非技术变量与显微外科游离皮瓣失败，使用多机构dataset.MethodsUtilizing美国外科医师学院的国家外科质量改进计划（NSQIP）数据库，我们确定了所有患者接受微血管游离组织转移从2005年到2009年。进行单变量分析以确定皮瓣失败与以下因素的关系：年龄、性别、种族、体重指数、术中输血、糖尿病、吸烟、饮酒、美国麻醉医师协会分类、手术年份、手术时间、皮瓣数量和重建类型。具有P显著性的因素
BackgroundThere are numerous factors that may contribute to microvascular free flap failure. Although technical issues are dominant factors, patient and clinical characteristics are also contributory. The aim of this study was to investigate non-technical variables associated with microsurgical free flap failure using a multi-institutional dataset.MethodsUtilizing the American College of Surgeons' National Surgical Quality Improvement Program (NSQIP) database, we identified all patients who underwent microvascular free tissue transfer from 2005 through 2009. Univariate analysis was performed to determine the association of flap failure with the following factors: age, gender, ethnicity, body mass index, intraoperative transfusion, diabetes, smoking, alcohol, American Society of Anesthesiologists classification, year of operation, operative time, number of flaps, and type of reconstruction. Factors with a significance of P