Author(s)
Aleena Dar BA
Mahinaz Mohsen BA
Mehdi S. Lemdani BS
Christina H. Fang, MD
Affiliation(s)
Rutgers New Jersey Medical School, Newark, NJ, U.S.A. (Dar, Mohsen, and Lemdani); Department of Otorhinolaryngology – Head & Neck Surgery, Montefiore Medical Center, Bronx, New York, U.S.A (Fang).;
Abstract:
Background: Previous studies have shown that racial/ethnic disparities exist in surgical care for patients with facial fractures.
Learning
Objectives: Highlight the nature of disparities in FFRS.
Study
Objective: Analyze the association between race/ethnicity and postoperative complications of FFRS.
Design Type: Retrospective database review.
Method: The 2005-2018 National Surgical Quality Improvement Program (NSQIP) database was used to identify patients who underwent FFRS using CPT codes 21310 to 21470 inclusive. Chi-square tests were used for univariate analysis. Multivariate analysis was used to test the association between race/ethnicity and complication risk. Persons of Asian, American Indian, Alaskan Native, Native Hawaiian, Pacific Islander and Hispanic origin were grouped as Other due to small sample size.
Results: Of the 5213 patients included in the analysis, 62.8% were White, 23.8% were Black and 13.4% were Other. Univariate analysis showed a significant relationship between sepsis and Black race/ethnicity (p = 0.007) and between superficial surgical site infections (SSI) (p = 0.009), surgical complications (p=0.010) and any complication (p = 0.002) and the Other races/ethnicities. On multivariate analysis, Black patients were more likely to develop sepsis (OR 5.003, 95% CI 1.672-14.971, p = 0.004). Patients in the Other were less likely to have superficial SSI (OR 0.127, 95% CI 0.018-0.921, p = 0.041) and any complication (OR 0.600, 95% CI 0.374-0.961, p = 0.034).
Conclusions: Among this data, Black race/ethnicity was independently associated with postoperative sepsis following FFRS. Further research can be done to expand this analysis regarding FFRS complexity.