Table 5.
Outcomes
| Overall (n = 126) |
Restrictive (n = 85) |
Liberal (n = 41) |
p value | AOR (95% CI)* | adjusted p | |
|---|---|---|---|---|---|---|
| Wound complications Overall | 44 (34.9) | 13 (15.3) | 31 (75.6) | < 0.001 | 2.62 (1.77, 8.94) | < 0.001 |
| After excluding anastomosis revisions | 38 (30.1) | 11 (12.9) | 27 (65.9) | < 0.001 | 1.96 (1.32, 5.43) | < 0.001 |
| Early reoperations | 6 (4.8) | 2 (2.5) | 4 (9.8) | 0.085 | 5.81 (0.94, 15.67) | 0.071 |
| Total flap loss | 6 (4.8) | 2 (2.4) | 4 (9.8) | 0.087 | 5.80 (0.90, 13.75) | 0.065 |
| Partial flap loss | 26 (20.6) | 6 (7.1) | 20 (48.8) | < 0.001 | 3.00 (1.70, 12.84) | < 0.001 |
| Dehiscence | 10 (7.9) | 3 (3.5) | 7 (17.1) | 0.013 | 5.17 (1.15, 13.32) | 0.033 |
| Infection | 13 (10.3) | 5 (5.9) | 8 (19.5) | 0.028 | 3.81 (1.08, 13.40) | 0.037 |
| Fat necrosis | 17 (13.5) | 4 (4.7) | 13 (31.7) | < 0.001 | 11.92 (2.8, 25.70) | 0.001 |
| Donor site | 13 (10.3) | 6 (7.1) | 7 (17.1) | 0.117 | 1.94 (0.51, 7.31) | 0.328 |
| Systemic complications | 24 (19.0) | 13 (15.3) | 11 (26.8) | 0.148 | 2.44 (0.90, 6.61) | 0.079 |
| Adjusted Mean Difference | Adjusted p | |||||
| Mean HLOS | 5.3 ± 0.5 | 5.0 ± 0.5 | 7.2 ± 0.5 | 0.038 | 1.7 (0.9, 2.1) | 0.015 |
Values are reported in n (%) unless stated otherwise.
Adjusting for anesthesia time, intra – operative blood loss, neoadjuvant radiation, intra – operative blood transfusion and use of albumin.
Donor site complications include dehiscence, infection and fat necrosis of the donor site. The rest of the outcomes are recipient site associated.
HLOS, hospital length of stay.