Plastik Cerrahide Yaşın Ameliyat Sonrası Sonuçlara Etkisi: Veri Analizi ve Çıkarımlar

Yıl 2024, , 31 - 36, 31.01.2024

Abdulkadir Calavul

https://doi.org/10.16899/jcm.1407776

Öz

Özet:
Amaç: Plastik cerrahide, özellikle 60 yaş ve üzeri hastalarda, ilerleyen yaşın ameliyat sonrası sonuçları üzerindeki etkisini araştırmak.
Yöntemler: 1 Ocak 2020'den 1 Ekim 2023'e kadar klinik verilerinin retrospektif analizi yapıldı. Veriler, hasta demografileri, preoperatif komorbiditeler, cerrahi detaylar ve 30 günlük postoperatif komplikasyonları içermektedir. Yaş ile komplikasyon oranları arasındaki ilişkiyi değerlendirmek için lojistik regresyon modelleri kullanılmıştır, burada komorbiditeler ve cerrahi türleri gibi konfounderler göz önünde bulundurulmuştur.
Bulgular: Çalışma, artan yaş ile cerrahi sonrası 30 gün içinde daha yüksek komplikasyon oranları arasında önemli bir ilişki bulmuştur. Ayrıca, daha yaşlı cerrahların daha düşük komplikasyon oranlarına sahip olduğunu ortaya çıkarmıştır. Ek olarak, sigara içme, obezite ve cinsiyet gibi faktörlerin postoperatif komplikasyonlarda etkili olduğu belirlenmiştir.
Tartışma: İlerleyen yaş, plastik cerrahide postoperatif komplikasyon riskinin artmasıyla bağımsız olarak ilişkilendirilmiştir. Çalışma, çeşitli hasta ve cerrah faktörlerini dikkate alarak postoperatif sonuçları değerlendirmek için kapsamlı bir yaklaşımın gerekliliğini vurgulamaktadır.

Anahtar Kelimeler

Plastik Cerrahi, Postoperatif Sonuçlar, Yaş, Komplikasyon Oranları, Hasta Bakımı

The Impact of Age on Postoperative Outcomes in Plastic Surgery: Data Analysis and Inferences

Öz

Abstract:
Aim: To investigate the effect of advancing age on postoperative outcomes in plastic surgery, focusing on patients aged 60 years and above.
Methods: A retrospective analysis of clinic data from January 1, 2020, to October 1, 2023, was conducted. Data included patient demographics, preoperative comorbidities, surgical details, and 30-day postoperative complications. Logistic regression models were employed to evaluate the association between age and complication rates, adjusting for confounders like comorbidities and surgery types.
Results: The study found a significant association between increasing age and higher complication rates within 30 days post-surgery. It also revealed that older surgeons tend to have lower complication rates. Additionally, factors like smoking, obesity, and gender were identified as influential in postoperative complications.
Conclusions: Advancing age is independently associated with an increased risk of postoperative complications in plastic surgery. The study highlights the need for a comprehensive approach to evaluate postoperative outcomes, considering various patient and surgeon factors.

Anahtar Kelimeler

Plastic Surgery, Postoperative Outcomes, Age, Complication Rates, Patient Care

Etik Beyan

This retrospective study was approved by the ethics committee of the Harran universty University Hospital( date: 27.11.2023- HRÜ:23.22.36)

Destekleyen Kurum

In this article, no financial support was received. The research was conducted independently and without any external funding.

Kaynakça

• [1] Russell TB, Labib PLZ, Aroori S. Five-year follow-up after pancreatoduodenectomy performed for malignancy: A single-centre study. Ann Hepatobiliary Pancreat Surg. 2023;27(1):76-86.
• [2] Shih K, De Oliveira GS Jr, Qin C, Kim JY. The impact of advancing age on postoperative outcomes in plastic surgery. J Plast Reconstr Aesthet Surg. 2015;68(11):1610-1615.
• [3] Kim TH, Lee JS, Lee SW, Oh YM. Pulmonary complications after abdominal surgery in patients with mild-to-moderate chronic obstructive pulmonary disease. Int J Chron Obstruct Pulmon Dis. 2016;11:2785-2796.
• [4] Fliss E, Manheim S, Zoabi T, et al. The Age Factor in Postbariatric Body Contouring Surgery Outcome. Plast Reconstr Surg. 2022;149(3):417e-423e.
• [5] Mortada H, Al Qurashi AA, Aljaaly HA. Establishment of Saudi Arabia's Plastic Surgery Interest Club: First-year Outcomes and Future Directions. Plast Reconstr Surg Glob Open. 2023;11(4):e4926.
• [6] Morgan JL, George J, Holmes G, et al. Breast cancer surgery in older women: outcomes of the Bridging Age Gap in Breast Cancer study. Br J Surg. 2020;107(11):1468-1479.
• [7] Roh DS, Panayi AC, Bhasin S, Orgill DP, Sinha I. Implications of Aging in Plastic Surgery. Plast Reconstr Surg Glob Open. 2019;7(1):e2085.
• [8] Tian Z, Zhao J, Zhao S, et al. Phytic acid-modified CeO2 as Ca2+ inhibitor for a security reversal of tumor drug resistance. Nano Res. 2022;15(5):4334-4343.
• [9] Kang AS, Kang KS. Assessment of rhomboid flap scars: A patient reported outcome study. A case series. Ann Med Surg (Lond). 2022;75:103328.
• [10] Cargnelutti E, Maieron M, Ius T, Skrap M, Tomasino B. Relation Between Reading Performance and White-Matter Alteration and Reorganization in Neurosurgical Patients. Front Neurol. 2020;11:563259.
• [11] Shi Q, Wang Y, Hao Q, et al. Pharmacotherapy for adults with overweight and obesity: a systematic review and network meta-analysis of randomised controlled trials. Lancet. 2022;399(10321):259-269.
• [12] Mioton LM, Buck DW 2nd, Gart MS, Hanwright PJ, Wang E, Kim JYS. A multivariate regression analysis of panniculectomy outcomes: does plastic surgery training matter?. Plast Reconstr Surg. 2013;131(4):604e-612e.
• [13] Melck AL, Wiseman SM. Harmonic scalpel compared to conventional hemostasis in thyroid surgery: a meta-analysis of randomized clinical trials. Int J Surg Oncol. 2010;2010:396079.
• [14] Tian Z, Zhao J, Zhao S, et al. Phytic acid-modified CeO2 as Ca2+ inhibitor for a security reversal of tumor drug resistance. Nano Res. 2022;15(5):4334-4343.
• [15] Menekse S. Outcome of Chronic Foot Osteomyelitis Treated With Hyperbaric Oxygen: An Observational Study. Int J Low Extrem Wounds. Published online December 10, 2023. doi:10.1177/15347346231217641
• [16] Suwanabol PA, Li Y, Abrahamse P, et al. Functional and Cognitive Decline Among Older Adults After High-risk Surgery. Ann Surg. 2022;275(1):e132-e139.
• [17] Wirtz D, Kohlhof H. The geriatric patient: special aspects of peri-operative management. EFORT Open Rev. 2019;4(6):240-247.
• [18] Bryzgalov LO, Korbolina EE, Damarov IS, Merkulova TI. The functional insight into the genetics of cardiovascular disease: results from the post-GWAS study. Vavilovskii Zhurnal Genet Selektsii. 2022;26(1):65-73.
• [19] Hamel MB, Henderson WG, Khuri SF, Daley J. Surgical outcomes for patients aged 80 and older: morbidity and mortality from major noncardiac surgery. J Am Geriatr Soc. 2005;53(3):424-429.