An analysis of underweight status on 30-day outcomes after breast reconstruction

作     者：Anas Eid Jon P.Ver Halen 

作者机构：Division of PlasticReconstructiveand Hand SurgeryBaptist Cancer CenterGermantownTN 38139USA Department of SurgeryVanderbilt-Ingram Cancer CenterNashvilleTN 37232USA. 

出 版 物：《Plastic and Aesthetic Research》 (整形与美容研究（英文版）)

年 卷 期：2016年第3卷第1期

页      面：8-14页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Breast reconstruction underweight complications body mass index obesity 

摘      要：Aim:To examine the impact of underweight body mass index(BMI)values on breast reconstruction ***:The American College of Surgeons National Surgical Quality Improvement Program(ACS-NSQIP)database was retrospectively reviewed for all patients who underwent breast reconstruction between 2006 and *** were first stratified by breast reconstruction modality into prosthetic or autologous cohorts,and second by BMI values into underweight(BMI18.5),normal to overweight(reference,BMI 18.5-29.99),moderate obesity(BMI 30-34.99),severe obesity(BMI 35-39.99),and morbid obesity *** logistic regression models were used to determine independent predictors of ***:With regard to prosthetic breast reconstruction patients,obese patients demonstrated increased rates of surgical complications,while underweight patients did not have any differences on multivariable *** respect to autologous reconstruction,risk-adjusted multivariate regression models showed a dose dependent response between obesity and risk for surgical complications and reoperation,but not for underweight ***:On multivariable analysis of over 4,600 patients,there were no significant differences in the rates of adverse events between underweight patients(BMI18.5)and their reference-weight counterparts,in spite of a significant increase in surgical and medical complication rates in underweight patients on univariate analysis.