Comparison of Reconstructive Plastic Surgery Rates and 30-Day Postoperative Complications Between Patients With and...

Area of Science:

• Plastic Surgery
• Psychiatry
• Health Services Research

Background:

• Psychiatric comorbidity is linked to increased postoperative complications across surgical fields.
• Data on psychiatric comorbidity in reconstructive plastic surgery outcomes is limited.

Purpose of the Study:

• To compare reconstructive plastic surgery rates between patients with and without psychiatric diagnoses.
• To evaluate 30-day postoperative complication rates in reconstructive plastic surgery for patients with and without psychiatric diagnoses.

Main Methods:

• Retrospective cohort study utilizing IBM MarketScan databases (2007-2015).
• Analysis included demographic data, diagnoses, and 30-day postoperative complications.
• Multivariable logistic regression was used to assess differences between groups.

Main Results:

• Patients with psychiatric diagnoses had higher reconstructive plastic surgery rates (4.8%-7.0%) compared to those without (1.6%).
• Psychiatric diagnoses were associated with a 2-fold increased odds of 30-day postoperative complications (aOR, 2.01).
• Specific conditions like eating disorders, nasal surgery, and body dysmorphic disorder showed significantly higher complication odds.

Conclusions:

• Psychiatric diagnoses are associated with increased utilization of reconstructive plastic surgery.
• Patients with psychiatric conditions face a significantly higher risk of 30-day postoperative complications following reconstructive plastic surgery.