PMID- 23464822
OWN - NLM
STAT- MEDLINE
DCOM- 20130805
LR  - 20130606
IS  - 1524-4725 (Electronic)
IS  - 1076-0512 (Linking)
VI  - 39
IP  - 6
DP  - 2013 Jun
TI  - Quantifying and characterizing adverse events in dermatologic surgery.
PG  - 872-8
LID - 10.1111/dsu.12165 [doi]
AB  - BACKGROUND: Although office-based dermatologic procedures are generally 
      considered safe, there is a lack of prospective data on the rate of adverse 
      events (AEs) associated with these procedures. OBJECTIVE: To determine the 
      frequency of AEs after dermatologic surgery and to characterize the most commonly 
      encountered AEs. METHODS: A web-based interface was designed to track AEs with 
      the input of four dermatologic surgeons. Patient demographic and operative data 
      were collected at the time of the dermatologic surgery procedure. AEs occurring 
      at any time during the data collection period were logged according to an a 
      priori categorization scheme. RESULTS: The AE rate was 2.0% in this series of 
      2,418 subjects undergoing dermatologic surgery from February 1 through December 
      14, 2010. The most commonly reported AEs were suspicion of infection (64%), 
      postoperative hemorrhage (20%), and wound dehiscence (8%). Suspicion of infection 
      was slightly less frequent in subjects who received prophylactic preoperative 
      antibiotics (0.4%) than in those who did not (1.5%, p = .07). There were no 
      serious AEs and no deaths. CONCLUSION: AEs are uncommon after office-based 
      dermatologic surgery procedures. Preoperative antibiotics may further decrease 
      the infection rate after dermatologic surgery, but the risks and benefits must be 
      weighed given the already low AE rate.
CI  - (c) 2013 by the American Society for Dermatologic Surgery, Inc. Published by Wiley 
      Periodicals, Inc.
FAU - O'Neill, Jenna L
AU  - O'Neill JL
AD  - Department of Dermatology, Center for Dermatology Research, Wake Forest, 
      Winston-Salem, North Carolina 27157, USA.
FAU - Lee, Yun Sun
AU  - Lee YS
FAU - Solomon, James A
AU  - Solomon JA
FAU - Patel, Nikita
AU  - Patel N
FAU - Shutty, Brandon
AU  - Shutty B
FAU - Davis, Scott A
AU  - Davis SA
FAU - Robins, Douglas N
AU  - Robins DN
FAU - Williford, Philip M
AU  - Williford PM
FAU - Feldman, Steven R
AU  - Feldman SR
FAU - Pearce, Daniel J
AU  - Pearce DJ
LA  - eng
PT  - Journal Article
DEP - 20130306
PL  - United States
TA  - Dermatol Surg
JT  - Dermatologic surgery : official publication for American Society for Dermatologic 
      Surgery [et al.]
JID - 9504371
SB  - IM
MH  - Aged
MH  - Ambulatory Surgical Procedures/*adverse effects
MH  - Dermatologic Surgical Procedures/*adverse effects
MH  - Female
MH  - Humans
MH  - Male
MH  - Postoperative Complications/diagnosis/epidemiology/etiology
MH  - Prospective Studies
EDAT- 2013/03/08 06:00
MHDA- 2013/08/06 06:00
CRDT- 2013/03/08 06:00
PHST- 2013/03/08 06:00 [entrez]
PHST- 2013/03/08 06:00 [pubmed]
PHST- 2013/08/06 06:00 [medline]
AID - 10.1111/dsu.12165 [doi]
PST - ppublish
SO  - Dermatol Surg. 2013 Jun;39(6):872-8. doi: 10.1111/dsu.12165. Epub 2013 Mar 6.