https://digitalcommons.unmc.edu/emet_posters/1009/thumbnail.jp

Evans, Susan

Geske, Jenenne A.

Hall, Bradley R.

Hehnke, Kaitlin

Hollins, Ronald R.

Johnson, Perry

Miller, Jason

Reilly, Debra

Wong, Shannon L.

Zurbuchen, Emily

English

University of Nebraska Medical Center Research: DigitalCommons@UNMC

University of Nebraska Medical Center DigitalCommons@UNMC EMET Posters College of Medicine Students 2021 Effects of Smoking on Healthcare Resource Utilization After Panniculectomy: Analysis of an Institutional Registry Kaitlin Hehnke Jenenne A. Geske Bradley R. Hall Emily Zurbuchen Jason Miller See next page for additional authors Follow this and additional works at: https://digitalcommons.unmc.edu/emet_posters  Part of the Medical Education Commons Authors Kaitlin Hehnke, Jenenne A. Geske, Bradley R. Hall, Emily Zurbuchen, Jason Miller, Ronald R. Hollins, Perry Johnson, Shannon L. Wong, Debra Reilly, and Susan Evans Effects of Smoking on Healthcare Resource Utilization After Panniculectomy: Analysis of an Institutional Registry Kaitlin A Hehnke MS1, Jenenne A Geske PhD2, Bradley R Hall MD3, Emily A Zurbuchen MD3, Jason J Miller MD DMD4, Ronald R Hollins MD DMD4, Perry J Johnson MD4, Shannon L Wong MD4, Debra A Reilly MD3,4, Susan K Evans MD2(1) College of Medicine, University of Nebraska Medical Center, Omaha, NE, (2) Department of Family Medicine, University of Nebraska Medical Center, Omaha, NE(3) Department of General Surgery, University of Nebraska Medical Center, Omaha, NE, (4) Department of Plastic and Reconstructive Surgery, University of Nebraska Medical Center, Omaha, NEDISCLOSURESThe authors of this study have no conflicts of interest or financial disclosures. A retrospective clinical registry was created for patients who underwent panniculectomy or abdominoplasty from 2012-2020. Patient demographics, perioperative variables, and postoperative outcomes were collected. Exclusion criteria included: patients <18 years of age and vulnerable populations such as children or adolescents, pregnant women, prisoners, decisionally-impaired persons, educationally disadvantaged individuals, socially or economically disadvantaged individuals, individuals with a stigmatizing illness or condition, and individuals from a marginalized social or ethnic group. Independent t-tests were performed to compare outcomes between smokers and non-smokers. Patients were classified as smokers if they were currently smoking or had ever smoked. Patients were classified as non-smokers if they had never smoked. Primary outcomes included length of stay, 30-day readmission, and number of post-operative follow-up visits.METHODSINTRODUCTIONSmokers undergoing panniculectomy are at risk for wound-related complications and may have higher rates of health care resource utilization. A paucity of data exists for patients undergoing this procedure. We created a clinical registry for patients undergoing panniculectomy at our institution and report outcomes as they relate to smoking status. Since smoking increases the risk of post-operative complications, we hypothesize that smokers may have an increased number of post-operative clinic visits, increased length of stay, and increased readmission rates after panniculectomy due to poor wound healing. RESULTSOf 767 patients, 95% were female and mean age was 43 years. 16% had a smoking history or were actively smoking at the time of surgery. Length of stay was longer in smokers (20 h vs. 14 h, P=0.008). The percentage of patients readmitted within 30 days of surgery was also higher in smokers (23% vs. 9%, P<0.001). The average number of 30 day readmissions for significantly higher for smokers (0.4 vs. 0.14, P<0.001). Smokers were more likely to have ASA scores of 3 or 4 compared to non-smokers (34% vs. 16%, P=0.002). No difference in the number of post-operative visits within one year of surgery or total number of post-operative visits after surgery. CONCLUSIONSPatients undergoing panniculectomy have significant utilization of health care resources. Smoking may be associated with longer length of stay and higher risk for readmission.NEVER SMOKERSSMOKERSSMOKERS NEVER SMOKERSASA SCORES% 30 DAY READMISSION66%34%84%16%22.6%9.3%77.4%90.7%Readmission No readmissonLENGTH OF HOSPITAL STAYSMOKERS NEVER SMOKERSDEMOGRAPHICSNEVER SMOKERS83.8%SMOKERS16.2%MALE4.7%FEMALE95.3%20.213.6HOURS

Effects of Smoking on Healthcare Resource Utilization After Panniculectomy: Analysis of an Institutional Registry

https://digitalcommons.unmc.edu/cgi/viewcontent.cgi?article=1009&context=emet_posters

Effects of Smoking on Healthcare Resource Utilization After Panniculectomy: Analysis of an Institutional Registry

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