Skeletal Muscle Index's Impact on Discharge Disposition After Head and Neck Cancer Free Flap Reconstruction.
Adult
Aged
Body Mass Index
Female
Frailty
/ complications
Head and Neck Neoplasms
/ complications
Health Status
Humans
Logistic Models
Male
Middle Aged
Muscle, Skeletal
Neoplasm Staging
Patient Discharge
Postoperative Complications
/ epidemiology
Plastic Surgery Procedures
/ adverse effects
Retrospective Studies
Risk Factors
discharge
frailty
free flap surgery
head and neck cancer
post–acute care facility
sarcopenia
skeletal muscle mass
Journal
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
ISSN: 1097-6817
Titre abrégé: Otolaryngol Head Neck Surg
Pays: England
ID NLM: 8508176
Informations de publication
Date de publication:
07 2021
07 2021
Historique:
pubmed:
9
12
2020
medline:
16
10
2021
entrez:
8
12
2020
Statut:
ppublish
Résumé
To determine the role of skeletal muscle index (SMI) in the assessment of frailty and determination of discharge to post-acute care facilities (PACF) after head and neck cancer free flap reconstruction (HNCFFR). Retrospective cohort. Single-institution, academic tertiary referral center. Adult patients undergoing HNCFFR from 2014 to 2019 with preoperative abdominal computed tomography imaging were retrospectively analyzed. Patient demographics, 5-factor modified frailty index (5-mFI), body mass index (BMI), SMI at the third lumbar vertebra, oncologic history, perioperative data, and Clavien-Dindo (CD) complications were collected. Binary logistic regression was used to identify independent predictors of discharge disposition. The cohort consisted of 206 patients, 62 (30.1%) of whom were discharged to PACF. Patients discharged to PACF were of older age (65.4 vs 57.1 years, SMI and 5-mFI are independently associated with discharge to PACF after HNCFFR and should be considered in preoperative planning and assessment of frailty.
Identifiants
pubmed: 33290190
doi: 10.1177/0194599820973232
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM