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AAPS 2007 Annual Meeting, May 19 - 22, 2007, The Coeur d'Alene Resort, Coeur d'Alene, Idaho.
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Outcomes in 30,903 Size Reduction Procedures
Michael Chen, MD.
Yale University, New Haven, CT, USA.

Purpose: There has been a dramatic increase in body contouring procedures, particularly after weight loss. The purpose of this study was to determine what some of the risk factors are for complications in body contouring procedures.
Methods: Ten years (1993-2002) of data were analyzed from the largest all-payer, inpatient care database publicly available in the U.S., the Nationwide Inpatient Sample (NIS). Using SAS statistical software, I extracted all patients who had undergone a size reduction procedure. I analyzed three outcome variables: length of stay, total charge, and complications, including but not limited to wound infection, wound dehiscence, and thromboembolism.
RESULTS: 30,903 size reduction procedures were coded for in the NIS database. When discharge weights were applied, these represented 150,365 size reduction procedures performed in the United States from 1993-2002.
In the analysis, diabetics (30% vs. 6%), smokers (13% vs. 7%), the obese (23% vs. 6%), those with a previous psychiatric history (19% vs. 7%), those undergoing a concurrent procedure, and blacks were found to have significantly more complications. This translated into a statistically significant longer length of stay and into nearly 3 times the total charge. Not surprisingly, the black population had nearly twice the diabetics and nearly 50% more morbidly obese patients.
Conclusion: In summary, in this large national study, we found clear evidence for several risk factors leading to a higher incidence of complications in body contouring procedures. As the number of body contouring procedures increase, this outcomes data will help in preventing further complications.


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