The effect of age on microsurgical free flap outcomes: An analysis of 5,951 cases

Background The growing elderly population necessitates a greater number of aging patients requiring complex reconstructive surgery involving free tissue transfer. The purpose of this study was to assess the safety, efficacy, and outcomes of microsurgical free tissue transfer in elderly patients usin...

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Bibliographic Details
Published in:Microsurgery 2017-11, Vol.37 (8), p.858-864
Main Authors: Jubbal, Kevin T., Zavlin, Dmitry, Suliman, Ahmed
Format: Article
Language:English
Subjects:
Adult
Age
Age Factors
Aged
Aged, 80 and over
Aging
Body mass
Body Mass Index
Classification
Complications
Databases, Factual
Female
Free Tissue Flaps
Geriatrics
Humans
Kidneys
Length of Stay
Male
Medical personnel
Microsurgery
Middle Aged
Mortality
Older people
Operative Time
Optimization
Patients
Plastic surgery
Postoperative Complications - epidemiology
Quality control
Reconstructive surgery
Reconstructive Surgical Procedures
Retrospective Studies
Risk Factors
Surgery
Treatment Outcome
Young Adult
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Summary:Background The growing elderly population necessitates a greater number of aging patients requiring complex reconstructive surgery involving free tissue transfer. The purpose of this study was to assess the safety, efficacy, and outcomes of microsurgical free tissue transfer in elderly patients using a national multi‐institutional database. Methods We performed a retrospective analysis of the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database to identify patients undergoing free tissue transfer. We stratified cohorts based on ages 18–49, 50–59, 60–69, 70–79, and 80+ years and analyzed primary outcomes of surgical complications, medical complications, mortality, and flap failure. Results A total of 5,951 patients were identified for inclusion in the analysis. Univariate analysis demonstrated progressively increasing surgical (P = .001) and medical (P 
ISSN:0738-1085
1098-2752
DOI:10.1002/micr.30189