Safety of Outpatient Shoulder Surgery at a Freestanding Ambulatory Surgery Center in Patients Aged 65 Years and Older: A Review of 640 Cases.

Autor:	Buterbaugh KL; Department of Orthopaedic Surgery (Dr. K. L. Buterbaugh, Dr. Liu), University of Pennsylvania, Philadelphia, PA, and the Department of Plastic Surgery (Dr. Krajewski) and the Department of Orthopaedic Surgery (Dr. G. A. Buterbaugh, Dr. Imbriglia), University of Pittsburgh, Pittsburgh, PA., Liu SY; Department of Orthopaedic Surgery (Dr. K. L. Buterbaugh, Dr. Liu), University of Pennsylvania, Philadelphia, PA, and the Department of Plastic Surgery (Dr. Krajewski) and the Department of Orthopaedic Surgery (Dr. G. A. Buterbaugh, Dr. Imbriglia), University of Pittsburgh, Pittsburgh, PA., Krajewski A; Department of Orthopaedic Surgery (Dr. K. L. Buterbaugh, Dr. Liu), University of Pennsylvania, Philadelphia, PA, and the Department of Plastic Surgery (Dr. Krajewski) and the Department of Orthopaedic Surgery (Dr. G. A. Buterbaugh, Dr. Imbriglia), University of Pittsburgh, Pittsburgh, PA., Buterbaugh GA; Department of Orthopaedic Surgery (Dr. K. L. Buterbaugh, Dr. Liu), University of Pennsylvania, Philadelphia, PA, and the Department of Plastic Surgery (Dr. Krajewski) and the Department of Orthopaedic Surgery (Dr. G. A. Buterbaugh, Dr. Imbriglia), University of Pittsburgh, Pittsburgh, PA., Imbriglia JE; Department of Orthopaedic Surgery (Dr. K. L. Buterbaugh, Dr. Liu), University of Pennsylvania, Philadelphia, PA, and the Department of Plastic Surgery (Dr. Krajewski) and the Department of Orthopaedic Surgery (Dr. G. A. Buterbaugh, Dr. Imbriglia), University of Pittsburgh, Pittsburgh, PA.
Jazyk:	angličtina
Zdroj:	Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews [J Am Acad Orthop Surg Glob Res Rev] 2018 Jan 11; Vol. 2 (1), pp. e075. Date of Electronic Publication: 2018 Jan 11 (Print Publication: 2018).
DOI:	10.5435/JAAOSGlobal-D-17-00075
Abstrakt:	Introduction: With increasing utilization of surgery centers, it is important to demonstrate the safety of outpatient shoulder surgery in freestanding ambulatory surgery centers. No studies have specifically looked at the Medicare-age population and the rate of outpatient shoulder procedure complications in these patients at an ambulatory surgery center. Methods: Six hundred forty patients were included in our study between 2000 and 2015. The incidence of major complications was identified, including acute infection requiring intravenous antibiotics or irrigation and débridement, postoperative transfer to a hospital, wrong-site surgical procedures, retention of a foreign object, postoperative symptomatic thromboembolism, medication errors, and bleeding/wound complications. Results: There was a total of seven occurrence reports in seven patients, for a reported adverse event rate of 1.01%. Conclusions: Our findings are consistent with currently reported outpatient hospital-based data and illustrate the safety of outpatient shoulder procedures at a freestanding ambulatory surgery center in Medicare-age patients. Competing Interests: Dr. Imbriglia or an immediate family member serves as a board member, owner, officer, or committee member of American Academy of Orthopaedic Surgeons and the American Society for Surgery of the Hand; is a member of a speakers' bureau or has made paid presentations on behalf of Auxilium; and has stock or stock options held in MiMedx. None of the following authors or any immediate family member has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this article: Dr. K. L. Buterbaugh, Dr. Liu, Dr. Krajewski, and Dr. G. A. Buterbaugh.
Databáze:	MEDLINE
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