Perioperative medicine & outcomes
Perioperative Risk Prediction in Head and Neck Free Flap Reconstructive Surgery
Authors' conclusion
ASA-PS, CCI, and its simplified version HN-CCI were shown to be independently associated with systemic complications.
Study context
- Population
- Patients undergoing head and neck free flap surgery, 2009–2022
- Participants
- 388 patients
- Outcome
- Postoperative flap compromise and systemic complications during primary in-hospital stay
Methodological detailssingle center, multivariable logistic regression
- Single center
- Multivariable logistic regression
Main finding
As reported in the abstract
Factors associated with flap compromise and systemic complications (multivariable analysis)
- Surgery time associated with flap compromise
- p = 0.005
- Perioperative RBC transfusion associated with flap compromise
- p = 0.001
- American Society of Anesthesiologists Physical Status (ASA-PS) associated with systemic complications
- p = 0.012
- Charlson Comorbidity Index (CCI) associated with systemic complications
- p = 0.021
- Head Neck Charlson Comorbidity Index (HN-CCI) associated with systemic complications
- p = 0.024
Observational data: associations, not effects.
Original publication
Perioperative Risk Prediction in Head and Neck Free Flap Reconstructive Surgery. Acta Anaesthesiol Scand. Published 31 August 2025. doi:10.
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