MARC details
| 000 -LEADER |
|---|
| fixed length control field |
02808nam a22003617a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
|---|
| fixed length control field |
201229s20202020 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
|---|
| International Standard Serial Number |
0032-1052 |
| 040 ## - CATALOGING SOURCE |
|---|
| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
|---|
| PMID |
33002979 |
| 245 ## - TITLE STATEMENT |
|---|
| Title |
"A Critical Examination of Length of Stay in Autologous Breast Reconstruction: A NSQIP Analysis". |
| 251 ## - Source |
|---|
| Source |
Plastic & Reconstructive Surgery. 2020 Sep 28 |
| 252 ## - Abbreviated Source |
|---|
| Abbreviated source |
Plast Reconstr Surg. 2020 Sep 28 |
| 253 ## - Journal Name |
|---|
| Journal name |
Plastic and reconstructive surgery |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
|---|
| Year |
2020 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
|---|
| Manufacturer |
FY2021 |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
|---|
| Publication status |
aheadofprint |
| 266 ## - Date added to catalog |
|---|
| Date added to catalog |
2020-12-29 |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
BACKGROUND: This study aims to use the National Surgical Quality Improvement Program (NSQIP) database to identify factors associated with extended postoperative length of stay (LOS) after breast reconstruction with free tissue transfer (FTT). |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
CONCLUSION: This study characterizes the risks for extended length of stay after free tissue transfer breast reconstruction using a prospective multicenter national database. The result of this study can be used to risk-stratify patients during surgical planning to optimize perioperative decision making. |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
METHODS: Consecutive cases of breast reconstruction with free tissue transfer were retrieved from the NSQIP (2005-2017) database using Current Procedural Terminology (CPT) code 19364. Extended LOS (dependent variable) was defined as > 5 days. |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
RESULTS: 9,686 cases were analyzed; extended LOS was noted in 34%. On regression, patient factors independently associated with extended LOS were BMI (OR 1.5, 95% CI 1.2-1.9, p<0.001), diabetes (OR 1.3, 95% CI 1.1-1.6, p=0.003), and malignancy history (OR 1.9, 95% CI 1.22.-3.02, p=0.005). Operation time > 500 minutes (OR 3, 95% CI 2.73-3.28, p<0.001) and immediate postmastectomy reconstruction (OR 1.7, 95% CI 1.16-2.48, p<0.001) conferred risk for extended LOS. Bilateral FTT was not significant. Operations performed in 2017 were at lower risk (OR 0.2, 95% CI 0.06-0.81, p=0.02) for extended LOS. Reoperation is more likely following operative transfusion and bilateral FTTs, but less likely following concurrent alloplasty. Given a known operation time (minutes), postoperative LOS (days) can be calculated using the equation: LOS = 2.559 + 0.003*operation time. |
| 546 ## - LANGUAGE NOTE |
|---|
| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
|---|
| Institution |
MedStar Washington Hospital Center |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
|---|
| Institution |
MedStar Washington Hospital Center I |
| 656 ## - INDEX TERM--OCCUPATION |
|---|
| Department |
Surgery/Plastic Surgery |
| 657 ## - INDEX TERM--FUNCTION |
|---|
| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
|---|
| Local Authors |
Abadeer, Andrew |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
|---|
| Local Authors |
Fan, Kenneth L |
| 790 ## - Authors |
|---|
| All authors |
Abadeer AI, Amdur RL, Fan KL, Kotha VS, Song DH |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
|---|
| DOI |
<a href="https://dx.doi.org/10.1097/PRS.0000000000007420">https://dx.doi.org/10.1097/PRS.0000000000007420</a> |
| Public note |
https://dx.doi.org/10.1097/PRS.0000000000007420 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
|---|
| Koha item type |
Journal Article |
| Item type description |
Article |
