Nazarian Mobin S.S.,University of Southern California |
Keyes G.R.,University of Southern California |
Singer R.,American Society of Plastic Surgeons |
Yates J.,Plastic and Cosmetic Surgery Center |
And 2 more authors.
Clinics in Plastic Surgery | Year: 2013
In the plastic surgery patient population, outpatient surgery is cost effective and will continue to grow as the preferred arena for performing surgery in healthy patients. Although there is a widespread myth that outpatient surgery centers may suffer from increased infection rates due to lax infection control, the data presented from American Association for Accreditation of Ambulatory Surgery Facilities-accredited facilities prove the contrary. There is a lack of data investigating infection prevention in the perioperative period in plastic surgery patients. As data collection becomes more refined, tracking the postoperative care environment should offer additional opportunities to lower the incidence of postoperative infections. © 2013 Elsevier Inc.
Pannucci C.J.,University of Michigan |
Bailey S.H.,Southwestern University |
Dreszer G.,Regions Hospital |
Fisher Wachtman C.,University of Pittsburgh |
And 10 more authors.
Journal of the American College of Surgeons | Year: 2011
Background The Venous Thromboembolism Prevention Study (VTEPS) Network is a consortium of 5 tertiary referral centers established to examine venous thromboembolism (VTE) in plastic surgery patients. We report our midterm analyses of the study's control group to evaluate the incidence of VTE in patients who receive no chemoprophylaxis, and validate the Caprini Risk Assessment Model (RAM) in plastic surgery patients. Study Design Medical record review was performed at VTEPS centers for all eligible plastic surgery patients between March 2006 and June 2009. Inclusion criteria were Caprini score <3, surgery under general anesthesia, and postoperative hospital admission. Patients who received chemoprophylaxis were excluded. Dependent variables included symptomatic deep vein thrombosis (DVT) or pulmonary embolism (PE) within the first 60 postoperative days and time to DVT or PE. Results We identified 1,126 historic control patients. The overall VTE incidence was 1.69%. Approximately 1 in 9 (11.3%) patients with Caprini score >8 had a VTE event. Patients with Caprini score >8 were significantly more likely to develop VTE when compared with patients with Caprini score of 3 to 4 (odds ratio [OR] 20.9, p < 0.001), 5 to 6 (OR 9.9, p < 0.001), or 7 to 8 (OR 4.6, p = 0.015). Among patients with Caprini score 7 to 8 or Caprini score >8, VTE risk was not limited to the immediate postoperative period (postoperative days 1-14). In these high-risk patients, more than 50% of VTE events were diagnosed in the late (days 15-60) postoperative period. Conclusions The Caprini RAM effectively risk-stratifies plastic and reconstructive surgery patients for VTE risk. Among patients with Caprini score >8, 11.3% have a postoperative VTE when chemoprophylaxis is not provided. In higher risk patients, there was no evidence that VTE risk is limited to the immediate postoperative period. © 2011 American College of Surgeons Published by Elsevier Inc.
American Society Of Plastic Surgeons, American Society of Plastic and Reconstructive Surgeons Inc. | Date: 1996-01-09
American Society Of Plastic Surgeons | Date: 2016-01-20
quarterly publication, namely, a magazine featuring information geared towards plastic surgery residents, namely, career tips, recommended journal articles, CPT coding information, and practice management topics.
American Society Of Plastic Surgeons | Date: 2007-12-19
educational materials, namely, pamphlets, brochures, newsletters and printed patient guides in the field of cosmetic medical care.