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National Trends in the Use of Inpatient Hospitalization for Combined Abdominoplasty and Breast Surgery

BACKGROUND: Combined procedures involving elective breast surgery at the time of abdominoplasty are frequently performed procedures in aesthetic plastic surgery. While found to be safe outpatient procedures, many surgeons elect to perform combined abdominoplasty/breast surgery as inpatient surgery....

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Autores principales: Shaterian, Ashkaun, Masoomi, Hossein, B Martin, Jenna, Paydar, Keyianoosh, A. Wirth, Garrett
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Iranian Society for Plastic Surgeons 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4537603/
https://www.ncbi.nlm.nih.gov/pubmed/26284180
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author Shaterian, Ashkaun
Masoomi, Hossein
B Martin, Jenna
Paydar, Keyianoosh
A. Wirth, Garrett
author_facet Shaterian, Ashkaun
Masoomi, Hossein
B Martin, Jenna
Paydar, Keyianoosh
A. Wirth, Garrett
author_sort Shaterian, Ashkaun
collection PubMed
description BACKGROUND: Combined procedures involving elective breast surgery at the time of abdominoplasty are frequently performed procedures in aesthetic plastic surgery. While found to be safe outpatient procedures, many surgeons elect to perform combined abdominoplasty/breast surgery as inpatient surgery. This study was performed to explore the practice of performing the combined procedure as an inpatient in the United States. METHODS: The Nationwide Inpatient Sample database was evaluated using ICD-9CM procedural codes to identify hospitalizations where patients underwent abdominoplasty combined with breast surgery. We trended the frequency of this combined procedure, and evaluated the rate of acute post-operative complications, length of inpatient hospitalization, and total hospital charges. RESULTS: Between 2004 and 2011, 29,235 combined abdominoplasty/breast procedures were performed as inpatient in United States. The rate of major post-operative complications in the acute hospitalization period was 1.12% and included CVA (0.02%), respiratory failure (0.6%), pneumonia (0.3%), VTE (0.1%), and myocardial infarction (0.1%). Hospitalization averaged 1.8 days and resulted in $31,177 of hospital charges. The demographics of the combined procedure transitioned as i) frequency of inpatient surgeries decreased, ii) percent of patients >50 yr increased, and iii) hospital charges increased from 2004 to 2011. CONCLUSION: A significant number of surgeons are performing combined abdominoplasty and elective breast surgery as inpatient procedures in United States. The combined surgery is safe but is associated with small risk of major post-operative complications. A short inpatient hospitalization may be beneficial for high-risk patients interested in combined procedures, but must be analyzed against the rising costs of inpatient surgery.
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spelling pubmed-45376032015-08-17 National Trends in the Use of Inpatient Hospitalization for Combined Abdominoplasty and Breast Surgery Shaterian, Ashkaun Masoomi, Hossein B Martin, Jenna Paydar, Keyianoosh A. Wirth, Garrett World J Plast Surg Original Article BACKGROUND: Combined procedures involving elective breast surgery at the time of abdominoplasty are frequently performed procedures in aesthetic plastic surgery. While found to be safe outpatient procedures, many surgeons elect to perform combined abdominoplasty/breast surgery as inpatient surgery. This study was performed to explore the practice of performing the combined procedure as an inpatient in the United States. METHODS: The Nationwide Inpatient Sample database was evaluated using ICD-9CM procedural codes to identify hospitalizations where patients underwent abdominoplasty combined with breast surgery. We trended the frequency of this combined procedure, and evaluated the rate of acute post-operative complications, length of inpatient hospitalization, and total hospital charges. RESULTS: Between 2004 and 2011, 29,235 combined abdominoplasty/breast procedures were performed as inpatient in United States. The rate of major post-operative complications in the acute hospitalization period was 1.12% and included CVA (0.02%), respiratory failure (0.6%), pneumonia (0.3%), VTE (0.1%), and myocardial infarction (0.1%). Hospitalization averaged 1.8 days and resulted in $31,177 of hospital charges. The demographics of the combined procedure transitioned as i) frequency of inpatient surgeries decreased, ii) percent of patients >50 yr increased, and iii) hospital charges increased from 2004 to 2011. CONCLUSION: A significant number of surgeons are performing combined abdominoplasty and elective breast surgery as inpatient procedures in United States. The combined surgery is safe but is associated with small risk of major post-operative complications. A short inpatient hospitalization may be beneficial for high-risk patients interested in combined procedures, but must be analyzed against the rising costs of inpatient surgery. Iranian Society for Plastic Surgeons 2015-07 /pmc/articles/PMC4537603/ /pubmed/26284180 Text en This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Shaterian, Ashkaun
Masoomi, Hossein
B Martin, Jenna
Paydar, Keyianoosh
A. Wirth, Garrett
National Trends in the Use of Inpatient Hospitalization for Combined Abdominoplasty and Breast Surgery
title National Trends in the Use of Inpatient Hospitalization for Combined Abdominoplasty and Breast Surgery
title_full National Trends in the Use of Inpatient Hospitalization for Combined Abdominoplasty and Breast Surgery
title_fullStr National Trends in the Use of Inpatient Hospitalization for Combined Abdominoplasty and Breast Surgery
title_full_unstemmed National Trends in the Use of Inpatient Hospitalization for Combined Abdominoplasty and Breast Surgery
title_short National Trends in the Use of Inpatient Hospitalization for Combined Abdominoplasty and Breast Surgery
title_sort national trends in the use of inpatient hospitalization for combined abdominoplasty and breast surgery
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4537603/
https://www.ncbi.nlm.nih.gov/pubmed/26284180
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