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Risk Factors for Perioperative Complications in Patients Undergoing Head and Neck Surgery

Purpose: To identify risk factors associated with complications following head and neck surgery based on the study of Farwell et al.

Description

Farwell et al identified risk factors for perioperative complications in patients undergoing head and neck surgery. These can help to identify a patient who may require more aggressive management after surgery. The authors are from the University of Washington in Seattle.


Independent risk factors for medical or surgical complications

(1) anesthesia time >= 8 hours (risk 10% if < 8 hours, 50% for 8 to 11.9 hours, 66% for 12 to 15.9 hours, and 100% for 16+ hours)

(2) history of hepatitis

(3) large volume of intraoperative fluid administration (>= 6 liters)

 

Risk factors identified on univariate analysis:

(1) cancer surgery

(2) preoperative radiation therapy

(3) flap reconstruction

(4) recent smoking (within past 6 weeks)

(5) preoperative gastrostomy

(6) blood transfusion


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Specialty

Objective

ICD-10