PMID- 30717618
OWN - NLM
STAT- MEDLINE
DCOM- 20200113
LR  - 20221207
IS  - 1097-6817 (Electronic)
IS  - 0194-5998 (Linking)
VI  - 160
IP  - 6
DP  - 2019 Jun
TI  - Postoperative Tachycardia in Head and Neck Microvascular Free Flap Patients.
PG  - 1019-1022
LID - 10.1177/0194599819827816 [doi]
AB  - OBJECTIVE: The goal of this study was to determine the incidence of postoperative 
      tachycardia and its predictive value of complications in patients following 
      microvascular free flap surgery in the head and neck. STUDY DESIGN: Retrospective 
      chart review. SETTING: Single tertiary care academic medical center. SUBJECTS AND 
      METHODS: All patients who underwent a microvascular free flap of the head and 
      neck by surgeons in the department of otolaryngology from 2013 to 2017 were 
      included in this study. RESULTS: Of the 344 who patients met inclusion criteria, 
      40.4% had a maximum heart rate (HR) of the hospitalization over 110 beats per 
      minute (bpm). Patients with a maximum HR greater than 110 bpm were 19 times more 
      likely to experience a composite vascular complication (myocardial infarction, 
      myocardial necrosis, or pulmonary embolism) than patients with a maximum HR <110 
      bpm ( P = .0063). Patients with a history of chronic kidney disease were also 
      noted to have an increased risk of experiencing a postoperative composite 
      vascular event. CONCLUSION: Postoperative tachycardia is significantly associated 
      with adverse outcomes and should not be dismissed as a normal variant. 
      Identifying patients at an increased risk of having an underlying complication 
      can help guide interpretation, workup, and management of postoperative patients 
      in the head and neck population.
FAU - Ziegler, Andrea
AU  - Ziegler A
AD  - 1 Department of Otolaryngology, Loyola University Medical Center, Maywood, 
      Illinois, USA.
FAU - Schneider, Alexander
AU  - Schneider A
AD  - 2 Department of Otolaryngology, Northwestern Memorial Hospital, Chicago, 
      Illinois, USA.
FAU - Pittman, Amy
AU  - Pittman A
AD  - 1 Department of Otolaryngology, Loyola University Medical Center, Maywood, 
      Illinois, USA.
FAU - Thorpe, Eric
AU  - Thorpe E
AD  - 1 Department of Otolaryngology, Loyola University Medical Center, Maywood, 
      Illinois, USA.
LA  - eng
PT  - Journal Article
DEP - 20190205
PL  - England
TA  - Otolaryngol Head Neck Surg
JT  - Otolaryngology--head and neck surgery : official journal of American Academy of 
      Otolaryngology-Head and Neck Surgery
JID - 8508176
SB  - IM
MH  - Aged
MH  - Female
MH  - *Free Tissue Flaps
MH  - Head and Neck Neoplasms/complications/physiopathology/*surgery
MH  - Humans
MH  - Incidence
MH  - Logistic Models
MH  - Male
MH  - Microsurgery/*adverse effects
MH  - Middle Aged
MH  - Postoperative Complications/*epidemiology
MH  - Plastic Surgery Procedures/*adverse effects
MH  - Retrospective Studies
MH  - Tachycardia/*epidemiology
OTO - NOTNLM
OT  - head and neck
OT  - microvascular free flap
OT  - postoperative complications
OT  - tachycardia
EDAT- 2019/02/06 06:00
MHDA- 2020/01/14 06:00
CRDT- 2019/02/06 06:00
PHST- 2019/02/06 06:00 [pubmed]
PHST- 2020/01/14 06:00 [medline]
PHST- 2019/02/06 06:00 [entrez]
AID - 10.1177/0194599819827816 [doi]
PST - ppublish
SO  - Otolaryngol Head Neck Surg. 2019 Jun;160(6):1019-1022. doi: 
      10.1177/0194599819827816. Epub 2019 Feb 5.