年龄作为腹壁成形术的一个风险因素。
Age as a Risk Factor in Abdominoplasty.
作者信息
Couto Rafael A, Lamaris Gregory A, Baker Todd A, Hashem Ahmed M, Tadisina Kashyap, Durand Paul, Rueda Steven, Orra Susan, Zins James E
机构信息
Department of Plastic Surgery, Cleveland Clinic, Cleveland, OH, USA.
Facial Surgery Section Editor for Aesthetic Surgery Journal, Cleveland Clinic Foundation, Cleveland, OH, USA.
出版信息
Aesthet Surg J. 2017 May 1;37(5):550-556. doi: 10.1093/asj/sjw227.
BACKGROUND
Recent studies reviewing large patient databases suggested that age may be an independent risk factor for abdominoplasty. However, these investigations by design considered only short-term major complications.
OBJECTIVES
The purpose of this investigation was: (1) to compare the safety of abdominoplasty in an elderly and younger patient population; (2) to determine the complication rates across all spectrums: major, minor, local, and systemic; and (3) to evaluate complications occurring both short and long term.
METHODS
Abdominoplasty procedures performed from 2010 to 2015 were retrospectively reviewed. Subjects were divided into two groups: ≤59 years old and ≥60 years old. Major, minor, local, and systemic complications were analyzed. Patient demographics, comorbidities, perioperative details, adjunctive procedures were also assessed.
RESULTS
A total of 129 patients were included in the study: 43 in the older and 86 in the younger age group. The median age of The elderly and young groups was 65.0 and 41.5 years, respectively (P < .001). No statistically significant differences in major, minor, local, or systemic complications were found when both age groups were compared. Major local, major systemic, minor local, and minor systemic in the elderly were 6.9%, 2.3%, 18.6%, and 2.3%, while in the younger patients were 9.3%, 4.7%, 10.5%, and 0.0%, respectively (P > .05). Median follow-up time of the elderly (4.0 months) was no different than the younger (5.0 months) patients (P > .07). Median procedure time in the elderly (4.5 hours) was no different than the younger group (5.0 hours) (P = .4). The elderly exhibited a greater American Society of Anesthesiologist score, median body mass index (28.7 vs 25.1 kg/m2), and number of comorbidities (2.7 vs 0.9) (P < .001).
CONCLUSIONS
There was no significant difference in either major or minor complications between the two groups. This suggests that with proper patient selection, abdominoplasty can be safely performed in the older age patient population.
LEVEL OF EVIDENCE
背景
近期对大型患者数据库的研究表明，年龄可能是腹壁成形术的独立危险因素。然而，这些研究在设计上仅考虑了短期的主要并发症。
目的
本研究的目的是：（1）比较老年和年轻患者群体中腹壁成形术的安全性；（2）确定所有类型并发症的发生率：主要、次要、局部和全身；（3）评估短期和长期发生的并发症。
方法
对2010年至2015年期间进行的腹壁成形术进行回顾性研究。将受试者分为两组：≤59岁和≥60岁。分析主要、次要、局部和全身并发症。还评估了患者的人口统计学特征、合并症、围手术期细节、辅助手术。
结果
本研究共纳入129例患者：老年组43例，年轻组86例。老年组和年轻组的中位年龄分别为65.0岁和41.5岁（P <.001）。比较两组年龄时，在主要、次要、局部或全身并发症方面未发现统计学上的显著差异。老年组的主要局部、主要全身、次要局部和次要全身并发症发生率分别为6.9%、2.3%、18.6%和2.3%，而年轻患者分别为9.3%、4.7%、10.5%和0.0%（P >.05）。老年组的中位随访时间（4.0个月）与年轻组（5.0个月）无差异（P >.07）。老年组的中位手术时间（4.5小时）与年轻组（5.0小时）无差异（P =.4）。老年组的美国麻醉医师协会评分更高，中位体重指数（28.7 vs 25.1 kg/m²）和合并症数量更多（2.7 vs 0.9）（P <.001）。
结论
两组在主要或次要并发症方面均无显著差异。这表明，通过适当的患者选择，腹壁成形术可以在老年患者群体中安全进行。
证据级别
2级
Zotero 插件