Cynthia Williams1, Matt T Bagwell2, Michelle DeDeo3, Alexandra Baker Lutz4, M Jordan Deal5, Bradley P Richey6, Ibrahim M Zeini7, Benjamin Service8, D Harrison Youmans9, Daryl C Osbahr9. 1. Department of Health Administration, Brooks College of Health, University of North Florida, 1 UNF Drive, Jacksonville, FL, 32224-2646, USA. 2. Department of Public Administration, School of Criminology, Criminal Justice and Public Administration, College of Liberal and Fine Arts, Tarleton State University, 10850 Texan Rider Dr., Rm # 336, Fort Worth, TX, 76036-9414, USA. Bagwell@tarleton.edu. 3. Department of Mathematics and Statistics, College of Arts and Sciences, University of North Florida, 1 UNF Drive, Jacksonville, FL, 32224-2646, USA. 4. Department of Orthopedic Surgery, University of Maryland, 110 S Paca St, Baltimore, MD, 21201, USA. 5. Department of Orthopedic Surgery, William Beaumont Hospital, Royal Oak, 3577 W.13 Mile Rd., Suite 402, Royal Oak, MI, 48073, USA. 6. University of Central Florida College of Medicine, 6850 Lake Nona Blvd 32827, Orlando, FL, USA. 7. AdventHealth Research Institute | Orthopedic Institute, 301 E Princeton St, Orlando, FL, 32804, USA. 8. Orlando Health Jewett Orthopedic Institute, 7243 Della Drive, Floor 2, Suite I, Orlando, FL, 32819, USA. 9. Rothman Orthopaedic Institute Florida, 410 Lionel Way Suite 201, Davenport, FL, 33837, USA.
Abstract
PURPOSE: The study objectives were (1) to evaluate risk factors related to 30-day hospital readmissions after arthroscopic knee surgeries and (2) to determine the complications that may arise from surgery. METHODS: The American College of Surgeons National Surgical Quality Improvement Program database data from 2012 to 2017 were researched. Patients were identified using Current Procedural Terminology codes for knee arthroscopic procedures. Ordinal logistic fit regression and decision tree analysis were used to examine study objectives. RESULTS: There were 83,083 knee arthroscopic procedures between 2012 and 2017 obtained from the National Surgical Quality Improvement Program database. The overall readmission rate was 0.87%. The complication rates were highest for synovectomy and cartilage procedures, 1.6% and 1.3% respectively. A majority of readmissions were related to the procedure (71.1%) with wound complications being the primary reason (28.2%) followed by pulmonary embolism and deep vein thrombosis, 12.7% and 10.6%, respectively. Gender and body mass index were not significant factors and age over 65 years was an independent risk factor. Wound infection, deep vein thrombosis, and pulmonary embolism were the most prevalent complications. CONCLUSION: Healthcare professionals have a unique opportunity to modify treatment plans based on patient risk factors. For patients who are at higher risk of inferior surgical outcomes, clinicians should carefully weigh risk factors when considering surgical and non-surgical approaches. LEVEL OF EVIDENCE: III.
PURPOSE: The study objectives were (1) to evaluate risk factors related to 30-day hospital readmissions after arthroscopic knee surgeries and (2) to determine the complications that may arise from surgery. METHODS: The American College of Surgeons National Surgical Quality Improvement Program database data from 2012 to 2017 were researched. Patients were identified using Current Procedural Terminology codes for knee arthroscopic procedures. Ordinal logistic fit regression and decision tree analysis were used to examine study objectives. RESULTS: There were 83,083 knee arthroscopic procedures between 2012 and 2017 obtained from the National Surgical Quality Improvement Program database. The overall readmission rate was 0.87%. The complication rates were highest for synovectomy and cartilage procedures, 1.6% and 1.3% respectively. A majority of readmissions were related to the procedure (71.1%) with wound complications being the primary reason (28.2%) followed by pulmonary embolism and deep vein thrombosis, 12.7% and 10.6%, respectively. Gender and body mass index were not significant factors and age over 65 years was an independent risk factor. Wound infection, deep vein thrombosis, and pulmonary embolism were the most prevalent complications. CONCLUSION: Healthcare professionals have a unique opportunity to modify treatment plans based on patient risk factors. For patients who are at higher risk of inferior surgical outcomes, clinicians should carefully weigh risk factors when considering surgical and non-surgical approaches. LEVEL OF EVIDENCE: III.
Authors: Andrew B Harris; Kevin Y Wang; Rohan Reddy; Amil R Agarwal; Sandesh S Rao; Gregory J Golladay; Savyasachi C Thakkar Journal: J Arthroplasty Date: 2022-04-30 Impact factor: 4.435