Benchmarking Outcomes in Plastic Surgery: National Complication Rates for Abdominoplasty and Breast Augmentation ‘Outcomes Article]

Alderman, Amy K.; Collins, E. Dale; Streu, Rachel; Grotting, James C.; Sulkin, Amy L.; Neligan, Peter C.; Haeck, Phillip C.; Gutowski, K.A.

doi:10.1097/prs.0b013e3181bf8378

Cited by 133 publications

(75 citation statements)

References 12 publications

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“…Finally, this dataset has been previously cross-validated with other registries such as the Tracking Operations and Outcomes for Plastic Surgeons (TOPS) and National Surgical Quality Improvement Program (NSQIP) database. 48 Despite all the advantages of the CosmetAssure database, it has several limitations that merit discussion. First, the database does not include minor but clinically significant hematomas that can be managed in the outpatient setting.…”

Section: Stengths and Limitationsmentioning

confidence: 99%

Incidence and Risk Factors for Major Hematomas in Aesthetic Surgery: Analysis of 129,007 Patients

Kaoutzanis

Winocour

Gupta

et al. 2017

Aesthetic Surgery Journal

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Background: Postoperative hematomas are one of the most frequent complications following aesthetic surgery. Identifying risk factors for hematoma has been limited by underpowered studies from single institution experiences. Objectives: To examine the incidence and identify independent risk factors for postoperative hematomas following cosmetic surgery utilizing a prospective, multicenter database. Methods: A prospectively enrolled cohort of patients who underwent aesthetic surgery between 2008 and 2013 was identified from the CosmetAssure database. Primary outcome was occurrence of major hematomas requiring emergency room visit, hospital admission, or reoperation within 30 days of the index operation. Univariate and multivariate analysis was used to identify potential risk factors for hematomas including age, gender, body mass index (BMI), smoking, diabetes, type of surgical facility, procedure by body region, and combined procedures. Results: Of 129,007 patients, 1180 (0.91%) had a major hematoma. Mean age (42.0 ± 13.0 years vs 40.9 ± 13.9 years, P < 0.01) and BMI (24.5 ± 5.0 kg/m 2 vs 24.3 ± 4.6 kg/m 2 , P < 0.01) were higher in patients with hematomas. Males suffered more hematomas than females (1.4% vs 0.9%, P < 0.01). Hematoma rates were higher in patients undergoing combined procedures compared to single procedures (1.1% vs 0.8%, P < 0.01), and breast procedures compared to body/extremity or face procedures (1.0% vs 0.8% vs 0.7%, P < 0.01). On multivariate analysis, independent predictors of hematoma included age (Relative Risk [RR] 1.01), male gender (RR 1.98), the procedure being performed in a hospital setting rather than an office-based setting (RR 1.68), combined procedures (RR 1.35), and breast procedures rather than the body/extremity and face procedures (RR 1.81). Conclusions: Major hematoma is the most common complication following aesthetic surgery. Male patients and those undergoing breast or combined procedures have a significantly higher risk of developing hematomas.

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Section: Stengths and Limitationsmentioning

confidence: 99%

Incidence and Risk Factors for Major Hematomas in Aesthetic Surgery: Analysis of 129,007 Patients

Kaoutzanis

Winocour

Gupta

et al. 2017

Aesthetic Surgery Journal

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“…Breast augmentation is the most common plastic surgery cosmetic procedure in the USA. According to TOPS (Tracking operations and Outcomes for Plastic Surgeons) and CosmetAssure databases, rates of DVT or PE ranged from 0.02% to <0.01% for single-procedure breast augmentation [4]. …”

Section: Discussionmentioning

confidence: 99%

Episode of massive pulmonary embolism after bilateral breast augmentation

Schönauer

Nele

Martino

et al. 2015

Case Reports in Plastic Surgery and Hand Surgery

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“…As an individual procedure, the complication rates of ABP are very low [13], and in general, patients who experienced these adverse outcomes still report a positive experience and would recommend the procedure to a friend [14]. ABP can lead to an increase in satisfaction with body image and an improvement in overall quality of life which makes it an attractive option for patients who are already scheduled for an open surgery [5,10,15,16].…”

Section: Introductionmentioning

confidence: 93%

Outcomes and Safety of the Combined Abdominoplasty-Hysterectomy: A Preliminary Study

et al. 2015

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Benchmarking Outcomes in Plastic Surgery: National Complication Rates for Abdominoplasty and Breast Augmentation ‘Outcomes Article]

Cited by 133 publications

References 12 publications

Incidence and Risk Factors for Major Hematomas in Aesthetic Surgery: Analysis of 129,007 Patients

Incidence and Risk Factors for Major Hematomas in Aesthetic Surgery: Analysis of 129,007 Patients

Episode of massive pulmonary embolism after bilateral breast augmentation

Outcomes and Safety of the Combined Abdominoplasty-Hysterectomy: A Preliminary Study

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