Table 3.
Comparing Complications in TOPS-EC versus TOPS-WM
| Overall | Breast Reductions | Prosthetic Reconstruction | Autologous Reconstruction | Free Flap | Pressure Ulcer Repair | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TOPS-EC | TOPS-WM | TOPS-EC | TOPS-WM | TOPS-EC | TOPS-WM | TOPS-EC | TOPS-WM | TOPS-EC | TOPS-WM | TOPS-EC | TOPS-WM | |
| N | 59,358 | 29,177 | 29,746 | 15,591 | 22,749 | 11,315 | 4787 | 1853 | 1017 | 208 | 1059 | 210 |
| Medical complications | 110 (0.2) | 79 (0.3) | 24 (0.1) | 17 (0.1) | 69 (0.3) | 47 (0.4) | 9 (0.2) | 9 (0.5) | 3 (0.3) | 2 (1.0) | 5 (0.5) | 4 (1.9) |
| Dehiscence | 2080 (3.5) | 1481 (5.1) | 1105 (3.7) | 863 (5.5) | 551 (2.4) | 372 (3.3) | 285 (6.0) | 194 (10.5) | 31 (3.0) | 12 (5.8) | 108 (10.2) | 40 (19.0) |
| Mortality | 18 (0.0) | 1 (0.0) | 3 (0.0) | 1 (0.0) | 2 (0.0) | 0 (0.0) | 4 (0.1) | 0 (0.0) | 3 (0.3) | 0 (0.0) | 6 (0.6) | 0 (0.0) |
| Venous thromboembolism | 71 (0.1) | 34 (0.1) | 37 (0.1) | 17 (0.1) | 19 (0.1) | 12 (0.1) | 11 (0.2) | 5 (0.3) | 3 (0.3) | 0 (0.0) | 1 (0.1) | 0 (0.0) |
| Return to OR | 1855 (3.1) | 908 (3.1) | 419 (1.4) | 222 (1.4) | 1011 (4.4) | 512 (4.5) | 311 (6.5) | 145 (7.8) | 85 (8.4) | 23 (11.1) | 29 (2.7) | 6 (2.9) |
| Surgical infection | 1003 (1.7) | 601 (2.1) | 344 (1.2) | 243 (1.6) | 495 (2.2) | 281 (2.5) | 131 (2.7) | 64 (3.5) | 23 (2.3) | 9 (4.3) | 10 (0.9) | 4 (1.9) |
| Total flap loss | 155 (0.3) | 53 (0.2) | NA | NA | NA | NA | 84 (1.8) | 33 (1.8) | 46 (4.5) | 14 (6.7) | 2 (0.2) | 1 (0.5) |
| Partial flap loss | 490 (0.8) | 351 (1.2) | NA | NA | NA | NA | 126 (2.6) | 87 (4.7) | 19 (1.9) | 9 (4.3) | 13 (1.2) | 7 (3.3) |
EC, entire cohort; NA, not available; WM, without missing.