Abstract:
BACKGROUND:Thrombosis is a common cause of flap failure in microvascular tissue transfer, which questions the effects of anemia on this outcome. This article seeks to contribute a large, multi-institutional data analysis to this debate. METHODS:Free tissue transfer patients were identified in the National Surgical Quality Improvement database through a specified Current Procedural Terminology algorithm. Bivariate analysis compared anemic and nonanemic groups with respect to flap failure and other outcomes. Multivariable logistic regression was used to determine risk factors for flap failure. RESULTS:Of the 864 patients who met inclusion criteria, 244 were anemic and 620 were not. Bivariate analysis showed no significant difference between groups with respect to flap failure (3.28% vs. 4.03%, P = 0.0603). Multivariate regression analysis supported this (OR 95% CI = 0.371-1.912). CONCLUSIONS:These findings, based on the largest sample in the literature, show anemia is neither a predictor of free tissue transfer failure nor is it protective.
journal_name
Microsurgeryjournal_title
Microsurgeryauthors
Mlodinow AS,Ver Halen JP,Rambachan A,Gaido J,Kim JYdoi
10.1002/micr.22107subject
Has Abstractpub_date
2013-09-01 00:00:00pages
432-8issue
6eissn
0738-1085issn
1098-2752journal_volume
33pub_type
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