دورية أكاديمية
أعرض في EDS

Inpatient or outpatient total elbow arthroplasty: a comparison of patient populations and 30-day surgical outcomes from the American College of Surgeons National Surgical Quality Improvement Program.

التفاصيل البيبلوغرافية
العنوان: Inpatient or outpatient total elbow arthroplasty: a comparison of patient populations and 30-day surgical outcomes from the American College of Surgeons National Surgical Quality Improvement Program.
المؤلفون: Momtaz D; Department of Orthopaedics, UT Health San Antonio, San Antonio, TX, USA., Ahmad F; Department of Orthopedics, Rush University Medical Center, Chicago, IL, USA., Singh A; Department of Orthopaedics, UT Health San Antonio, San Antonio, TX, USA., Song E; Department of Orthopedics, Baylor College of Medicine, Houston, TX, USA., Slocum D; Department of Orthopaedics, UT Health San Antonio, San Antonio, TX, USA., Ghali A; Department of Orthopedics, Baylor College of Medicine, Houston, TX, USA., Abdelfattah A; Institute of Orthopaedic Special Surgery, San Antonio, TX, USA.
المصدر: Clinics in shoulder and elbow [Clin Shoulder Elb] 2023 Dec; Vol. 26 (4), pp. 351-356. Date of Electronic Publication: 2023 Nov 23.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Korean Shoulder and Elbow Society, Department of Orthopedic Surgery, Seoul National University Bundang Hospital Country of Publication: Korea (South) NLM ID: 101658558 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2288-8721 (Electronic) Linking ISSN: 12269344 NLM ISO Abbreviation: Clin Shoulder Elb Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Seongnam, Korea : Korean Shoulder and Elbow Society, Department of Orthopedic Surgery, Seoul National University Bundang Hospital, [2014].
مستخلص: Background: Total elbow arthroplasty (TEA) is uncommon, but growing in incidence. Traditionally an inpatient operation, a growing number are performed outpatient, consistent with general trends in orthopedic surgery. The aim of this study was to compare TEA outcomes between inpatient and outpatient surgical settings. Secondarily, we sought to identify patient characteristics that predict the operative setting.
Methods: Patient data were collected from the American College of Surgeons National Quality Improvement Program. Preoperative variables, including patient demographics and comorbidities, were recorded, and baseline differences were assessed via multivariate regression to predict operative setting. Multivariate regression was also used to compare postoperative complications within 30 days.
Results: A total of 468 patients, 303 inpatient and 165 outpatient procedures, were identified for inclusion. Hypoalbuminemia (odds ratio [OR], 2.5; P=0.029), history of chronic obstructive pulmonary disorder or pneumonia (OR, 2.4; P=0.029), and diabetes mellitus (OR, 2.5; P=0.001) were significantly associated with inpatient TEA, as were greater odds of any complication (OR, 4.1; P<0.001) or adverse discharge (OR, 4.5; P<0.001) and decreased odds of reoperation (OR, 0.4; P=0.037).
Conclusions: Patients undergoing inpatient TEA are generally more comorbid, and inpatient surgery is associated with greater odds of complications and adverse discharge. However, we found higher rates of reoperation in outpatient TEA. Our findings suggest outpatient TEA is safe, although patients with a higher comorbidity burden may require inpatient surgery. Level of evidence: III.
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فهرسة مساهمة: Keywords: Arthroplasty; Elbow surgery; Outpatients; Upper extremity; Inpatients
تواريخ الأحداث: Date Created: 20231123 Latest Revision: 20231208
رمز التحديث: 20240829
مُعرف محوري في PubMed: PMC10698125
DOI: 10.5397/cise.2023.00486
PMID: 37994008
قاعدة البيانات: MEDLINE
الوصف
تدمد:2288-8721
DOI:10.5397/cise.2023.00486