Risk Factors for Postoperative Complications among the Elderly after

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May 9, 2018 - Table 8: Frequencies of medical and surgical complications accord- ing to the Clavien-Dindo classification. Complication type. Clavien-Dindo ...
Hindawi Plastic Surgery International Volume 2018, Article ID 7053839, 5 pages https://doi.org/10.1155/2018/7053839

Research Article Risk Factors for Postoperative Complications among the Elderly after Plastic Surgery Procedures Performed under General Anesthesia Kiyoko Fukui ,1 Masaki Fujioka,1,2 Kazumi Yamasaki,3,4 Sho Yamakawa,1 Haruka Matsuo,1 and Miho Noguchi1 1

Department of Plastic and Reconstructive Surgery, National Hospital Organization Nagasaki Medical Center, Nagasaki, Japan Department of Plastic and Reconstructive Surgery, Nagasaki University, Nagasaki, Japan 3 Department of Liver Internal Medicine, National Hospital Organization Nagasaki Medical Center, Nagasaki, Japan 4 Department of Clinical Research Center, National Hospital Organization Nagasaki Medical Center, Nagasaki, Japan 2

Correspondence should be addressed to Kiyoko Fukui; [email protected] Received 1 December 2017; Revised 5 April 2018; Accepted 9 May 2018; Published 8 July 2018 Academic Editor: Nicol`o Scuderi Copyright © 2018 Kiyoko Fukui et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Background. The frequency of surgery involving elderly patients has been increasing. The use of free tissue transfers in the elderly has been examined previously (Howard et al., 2005, Hwang et al., 2016, Grammatica et al., 2015, Serletti et al., 2000, and Sierakowski et al., 2017), whereas there have not been any such studies of plastic surgery procedures. We evaluated the risk factors for complications after plastic surgery procedures performed under general anesthesia in patients aged ≥75 years. Methods. The cases of patients aged ≥75 years who underwent plastic surgery procedures under general anesthesia at the Department of Plastic and Reconstructive Surgery, National Hospital Organization Nagasaki Medical Center, between 2009 and 2016 were reviewed retrospectively. Multiple logistic regression analysis was used to identify the risk factors for postoperative complications. Results. Two hundred and sixtythree cases were reviewed. Complications were seen in 137 patients. Age was not predictive of complications. The risk factors included a serum albumin level of