The Effect of Smoking and Body Mass Index on The Complication Rate of Alloplastic Breast Reconstruction

Background and Aims: The aim of this study was to evaluate the effect of smoking and body mass index on the occurrence of complications after alloplastic breast reconstruction. Materials and Methods: A consecutive series of 56 patients treated with immediate or delayed alloplastic breast reconstruct...

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Bibliographic Details
Published in:Scandinavian journal of surgery 2020-06, Vol.109 (2), p.143-150
Main Authors: Sadok, N., Krabbe-Timmerman, I. S., de Bock, G. H., Werker, P. M. N., Jansen, L.
Format: Article
Language:English
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Summary:Background and Aims: The aim of this study was to evaluate the effect of smoking and body mass index on the occurrence of complications after alloplastic breast reconstruction. Materials and Methods: A consecutive series of 56 patients treated with immediate or delayed alloplastic breast reconstruction, including six cases combined with latissimus dorsi flap, at three hospitals between 2012 and 2018 were included. Complications were scored and defined according to Clavien–Dindo. To evaluate the impact of smoking, body mass index, and other potential risk factors on the occurrence of any and severe complications, univariate and multivariate logistic regression analyses were applied to estimate odds ratios and 95% confidence intervals. Results: In 56 patients, 22 patients had a complication. As much as 46% of smokers had severe complications compared to 18% of non-smokers. Of patients with body mass index ⩾ 25, 40% had severe complications compared to 10% with body mass index 
ISSN:1457-4969
1799-7267
DOI:10.1177/1457496919826711