دورية أكاديمية
أعرض في EDS

Can Preoperative Laboratory Values Predict Short-term Postoperative Complications and Health Utilization in Patients Undergoing Cranioplasty?

التفاصيل البيبلوغرافية
العنوان: Can Preoperative Laboratory Values Predict Short-term Postoperative Complications and Health Utilization in Patients Undergoing Cranioplasty?
المؤلفون: Bajaj A; Division of Plastic Surgery, Lurie Children's Hospital of the Northwestern University Feinberg School of Medicine, Chicago, IL., Khazanchi R, Weissman JP, Gosain AK
المصدر: The Journal of craniofacial surgery [J Craniofac Surg] 2024 Jan-Feb 01; Vol. 35 (1), pp. 137-142. Date of Electronic Publication: 2023 Nov 13.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 9010410 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1536-3732 (Electronic) Linking ISSN: 10492275 NLM ISO Abbreviation: J Craniofac Surg
أسماء مطبوعة: Publication: <2014-> : Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: Burlington, Ont. : B.C. Decker, c1990-
مواضيع طبية MeSH: Laboratories* , Postoperative Complications*/epidemiology , Postoperative Complications*/etiology, Humans ; Creatinine ; Hematocrit ; Reoperation ; Albumins ; Risk Factors ; Retrospective Studies
مستخلص: Background: Low hematocrit, low albumin, and high creatinine levels have been associated with postoperative morbidity. The present study intends to analyze the effects of preoperative laboratories on medical complications and postoperative health resource utilization in patients undergoing cranioplasty.
Methods: Using data from the American College of Surgeons National Surgical Quality Improvement Program, demographic, clinical, and intraoperative characteristics were collected for each patient who had recorded albumin, hematocrit, or creatinine laboratory values within 90 days of the index cranioplasty. Outcomes analyzed were ≥1 medical complication, ≥1 wound complication, unplanned reoperation, 30-day readmission, and extended hospital stay (>30 d). Outcomes significant on bivariate analyses were evaluated using multivariate logistic regression. Significant outcomes on multivariate analyses were analyzed using receiver operating characteristic curves and Mann-Whitney U tests.
Results: The 3 separate cohorts included 1349 patients with albumin, 2201 patients with hematocrit, and 2182 patients with creatinine levels. Upon multivariate analysis, increases in albumin and hematocrit were independently associated with decreased odds of medical complications and extended length of stay. Increases in creatinine were independently associated with increased odds of medical complications. Discriminative cutoff values were identified for albumin and hematocrit.
Conclusions: Preoperative laboratory values were independent predictors of medical complications and health utilization following cranioplasty in this study. Surgical teams can use these findings to optimize preoperative risk stratification.
Competing Interests: The authors report no conflicts of interest.
(Copyright © 2023 by Mutaz B. Habal, MD.)
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المشرفين على المادة: AYI8EX34EU (Creatinine)
0 (Albumins)
تواريخ الأحداث: Date Created: 20231113 Date Completed: 20240201 Latest Revision: 20240201
رمز التحديث: 20240201
DOI: 10.1097/SCS.0000000000009858
PMID: 37955436
قاعدة البيانات: MEDLINE
الوصف
تدمد:1536-3732
DOI:10.1097/SCS.0000000000009858