Work

D44. Racial Disparities in Peri-operative Outcomes after Plastic Surgery: An ACS-NSQIP Analysis

Year: 2023

Type: article

Abstract: PURPOSE: Documenting racial and ethnic healthcare disparities is essential to achieving best care. This study examined different outcomes in reconstructive surgery using a large national database. METHOD: Patients undergoing breast reduction, breast reconstruction, and abdominal wall reconstruction from 2017 to 2020 were included from The American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP). Peri-operative outcomes were analyzed. RESULTS: A total of 162,186 patients were included and analyzed in 4 groups: All surgeries, breast reduction, breast reconstruction, and abdominal wall reconstruction. In all surgeries, Black patients were significantly more likely to experience acute renal failure, cardiopulmonary resuscitation (CPR), re-intubation, and transfusion intra-operatively or within 72 hours of surgery than White patients. In abdominal wall reconstruction, Black patients remained significantly more likely to experience CPR, re-intubation, transfusion, and reoperation than White patients. In breast reduction, Black patients were significantly more likely to be readmitted within 30 days of surgery than White patients. CONCLUSION: Black patients experience significant post-operative adverse events after reconstructive surgeries. These disparities offer potential targets for study, resulting in interventions to improve outcomes.

Source: Plastic & Reconstructive Surgery Global Open

DOI: 10.1097/01.gox.0000934784.23255.75

Authors: Haig A. Yenikomshian, Paul Won, Joseph N. Carey, Warren L. Garner

Institution: University of Southern California

Language: English

Topic: Cardiac, Anesthesia and Surgical Outcomes

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDGs: Good health and well-being, Reduced inequalities

Open Access status: gold

Estimated APC paid: $2,195