Diabetes is not associated with increased rates of free flap failure: Analysis of outcomes in 6030 patients from the ACS-NSQIP database.
Rami S KantarWilliam J RifkinJoshua A DavidMichael J CammarataJ Rodrigo Diaz-SisoJamie P LevineAlyssa R GolasDaniel J CeradiniPublished in: Microsurgery (2018)
Our study evaluated the largest national cohort of free flap procedures. These results suggest that diabetes is not associated with increased rates of flap failure. However, diabetic patients are at significantly higher risk of postoperative deep incisional SSI, wound dehiscence, and longer LOS. Our findings provide the most concrete evidence to date in support of free flap reconstruction in diabetic patients, but highlight the need for heightened clinical vigilance and wound care for optimal outcomes.
Keyphrases
- surgical site infection
- quality improvement
- type diabetes
- glycemic control
- end stage renal disease
- cardiovascular disease
- newly diagnosed
- ejection fraction
- acute coronary syndrome
- palliative care
- patients undergoing
- peritoneal dialysis
- emergency department
- wound healing
- patient reported outcomes
- metabolic syndrome
- patient reported
- chronic pain
- breast reconstruction