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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

Total hospital charges associated with hospitalization following combined abdominoplasty/breast surgery increased near annually from 2004 to 2011
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Figure 2: Total hospital charges associated with hospitalization following combined abdominoplasty/breast surgery increased near annually from 2004 to 2011

Mentions: Length of stay and associated costs of elective inpatient treatment following the combined procedure was evaluated annually from 2004 to 2001 (Table 3). Post-operatively, patients remained admitted for an average of 1.8 hospital days with approximately one of six patients requiring at least 3.2 days of hospitalization. The total hospital charges associated with inpatient admission averaged $31,177 for 1.8 day admission; however the top 15% of admissions reached above $56,108. Interestingly, while mean hospital stay demonstrated minimal variation from 2004-2011, hospital charges increased near annually from 2004 ($22,194) to 2011 ($44,302) (Figure 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)

Total hospital charges associated with hospitalization following combined abdominoplasty/breast surgery increased near annually from 2004 to 2011
© Copyright Policy
Related In: Results  -  Collection

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

Figure 2: Total hospital charges associated with hospitalization following combined abdominoplasty/breast surgery increased near annually from 2004 to 2011
Mentions: Length of stay and associated costs of elective inpatient treatment following the combined procedure was evaluated annually from 2004 to 2001 (Table 3). Post-operatively, patients remained admitted for an average of 1.8 hospital days with approximately one of six patients requiring at least 3.2 days of hospitalization. The total hospital charges associated with inpatient admission averaged $31,177 for 1.8 day admission; however the top 15% of admissions reached above $56,108. Interestingly, while mean hospital stay demonstrated minimal variation from 2004-2011, hospital charges increased near annually from 2004 ($22,194) to 2011 ($44,302) (Figure 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