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National Trends in the Use of Inpatient Hospitalization for Combined Abdominoplasty and Breast Surgery.

Shaterian A, Masoomi H, B Martin J, Paydar K, A Wirth G - World J Plast Surg (2015)

Bottom Line: Hospitalization averaged 1.8 days and resulted in $31,177 of hospital charges.The demographics of the combined procedure transitioned as i) frequency of inpatient surgeries decreased, ii) percent of patients >50 yr increased, and iii) hospital charges increased from 2004 to 2011.A short inpatient hospitalization may be beneficial for high-risk patients interested in combined procedures, but must be analyzed against the rising costs of inpatient surgery.

View Article: PubMed Central - PubMed

Affiliation: Department of Plastic Surgery, Aesthetic and Plastic Surgery Institute, University of California, Irvine.

ABSTRACT

Background: Combined procedures involving elective breast surgery at the time of abdominoplasty are frequently performed procedures in aesthetic plastic surgery. While found to be safe outpatient procedures, many surgeons elect to perform combined abdominoplasty/breast surgery as inpatient surgery. This study was performed to explore the practice of performing the combined procedure as an inpatient in the United States.

Methods: The Nationwide Inpatient Sample database was evaluated using ICD-9CM procedural codes to identify hospitalizations where patients underwent abdominoplasty combined with breast surgery. We trended the frequency of this combined procedure, and evaluated the rate of acute post-operative complications, length of inpatient hospitalization, and total hospital charges.

Results: Between 2004 and 2011, 29,235 combined abdominoplasty/breast procedures were performed as inpatient in United States. The rate of major post-operative complications in the acute hospitalization period was 1.12% and included CVA (0.02%), respiratory failure (0.6%), pneumonia (0.3%), VTE (0.1%), and myocardial infarction (0.1%). Hospitalization averaged 1.8 days and resulted in $31,177 of hospital charges. The demographics of the combined procedure transitioned as i) frequency of inpatient surgeries decreased, ii) percent of patients >50 yr increased, and iii) hospital charges increased from 2004 to 2011.

Conclusion: A significant number of surgeons are performing combined abdominoplasty and elective breast surgery as inpatient procedures in United States. The combined surgery is safe but is associated with small risk of major post-operative complications. A short inpatient hospitalization may be beneficial for high-risk patients interested in combined procedures, but must be analyzed against the rising costs of inpatient surgery.

No MeSH data available.


Related in: MedlinePlus

Frequency of inpatient hospitalization following combined abdominoplasty/breast surgery decreased in frequency from 2005 to 2011
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Figure 1: Frequency of inpatient hospitalization following combined abdominoplasty/breast surgery decreased in frequency from 2005 to 2011

Mentions: To further characterize the use of elective inpatient hospitalization following the combined procedure, we evaluated the annual frequency of elective admissions. We found 29,235 combined abdominoplasty/breast procedures were performed as inpatient, however, the practice of inpatient hospitalization decreased in frequency each year from 2005-2011 (Figure 1). The fewest number of combined abdominoplasty/breast procedures were performed in 2011 comprising 2,190 patients (vs. 5306 performed in 2005) (Table 2).


National Trends in the Use of Inpatient Hospitalization for Combined Abdominoplasty and Breast Surgery.

Shaterian A, Masoomi H, B Martin J, Paydar K, A Wirth G - World J Plast Surg (2015)

Frequency of inpatient hospitalization following combined abdominoplasty/breast surgery decreased in frequency from 2005 to 2011
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4537603&req=5

Figure 1: Frequency of inpatient hospitalization following combined abdominoplasty/breast surgery decreased in frequency from 2005 to 2011
Mentions: To further characterize the use of elective inpatient hospitalization following the combined procedure, we evaluated the annual frequency of elective admissions. We found 29,235 combined abdominoplasty/breast procedures were performed as inpatient, however, the practice of inpatient hospitalization decreased in frequency each year from 2005-2011 (Figure 1). The fewest number of combined abdominoplasty/breast procedures were performed in 2011 comprising 2,190 patients (vs. 5306 performed in 2005) (Table 2).

Bottom Line: Hospitalization averaged 1.8 days and resulted in $31,177 of hospital charges.The demographics of the combined procedure transitioned as i) frequency of inpatient surgeries decreased, ii) percent of patients >50 yr increased, and iii) hospital charges increased from 2004 to 2011.A short inpatient hospitalization may be beneficial for high-risk patients interested in combined procedures, but must be analyzed against the rising costs of inpatient surgery.

View Article: PubMed Central - PubMed

Affiliation: Department of Plastic Surgery, Aesthetic and Plastic Surgery Institute, University of California, Irvine.

ABSTRACT

Background: Combined procedures involving elective breast surgery at the time of abdominoplasty are frequently performed procedures in aesthetic plastic surgery. While found to be safe outpatient procedures, many surgeons elect to perform combined abdominoplasty/breast surgery as inpatient surgery. This study was performed to explore the practice of performing the combined procedure as an inpatient in the United States.

Methods: The Nationwide Inpatient Sample database was evaluated using ICD-9CM procedural codes to identify hospitalizations where patients underwent abdominoplasty combined with breast surgery. We trended the frequency of this combined procedure, and evaluated the rate of acute post-operative complications, length of inpatient hospitalization, and total hospital charges.

Results: Between 2004 and 2011, 29,235 combined abdominoplasty/breast procedures were performed as inpatient in United States. The rate of major post-operative complications in the acute hospitalization period was 1.12% and included CVA (0.02%), respiratory failure (0.6%), pneumonia (0.3%), VTE (0.1%), and myocardial infarction (0.1%). Hospitalization averaged 1.8 days and resulted in $31,177 of hospital charges. The demographics of the combined procedure transitioned as i) frequency of inpatient surgeries decreased, ii) percent of patients >50 yr increased, and iii) hospital charges increased from 2004 to 2011.

Conclusion: A significant number of surgeons are performing combined abdominoplasty and elective breast surgery as inpatient procedures in United States. The combined surgery is safe but is associated with small risk of major post-operative complications. A short inpatient hospitalization may be beneficial for high-risk patients interested in combined procedures, but must be analyzed against the rising costs of inpatient surgery.

No MeSH data available.


Related in: MedlinePlus