Patient "No-Show" Increases the Risk of 90-Day Complications Following Primary Total Knee Arthroplasty: A Retrospective Cohort Study of 6,776 Patients.

Autor: Mun JS; Geisinger Commonwealth School of Medicine, Scranton, Pennsylvania., Parry MW; Geisinger Musculoskeletal Institute, Division of Adult Reconstruction, Scranton, Pennsylvania., Tang A; Geisinger Musculoskeletal Institute, Division of Adult Reconstruction, Scranton, Pennsylvania., Manikowski JJ; Geisinger Cancer Institute - Center for Oncology Research and Innovation, Danville, Pennsylvania., Crinella C; Geisinger Musculoskeletal Institute, Division of Adult Reconstruction, Scranton, Pennsylvania., Mercuri JJ; Geisinger Musculoskeletal Institute, Division of Adult Reconstruction, Scranton, Pennsylvania.
Jazyk: angličtina
Zdroj: The Journal of arthroplasty [J Arthroplasty] 2023 Dec; Vol. 38 (12), pp. 2587-2591.e2. Date of Electronic Publication: 2023 Jun 07.
DOI: 10.1016/j.arth.2023.05.089
Abstrakt: Background: Patients who "no-show" (NS) clinical appointments are at a high risk of adverse health outcomes. The objective of this study was to evaluate and characterize the relationship between NS visits prior to primary total knee arthroplasty (TKA) and 90-day complications after TKA.
Methods: We retrospectively reviewed 6,776 consecutive patients undergoing primary TKA. Study groups were separated based on whether patients who NS versus always attended their appointment. A NS was defined as an intended appointment that was not canceled or rescheduled ≤2 hours before the appointment in which the patient did not show. Data collected included total number of follow-up appointments prior to surgery, patient demographics, comorbidities, and 90-day postoperative complications.
Results: Patients who have ≥3 NS appointments had 1.5 times increased odds of a surgical site infection (odds ratio (OR) 1.54, P = .002) compared to always attended patients. Patients who were ≤65 years old (OR: 1.41, P < .001), smokers (OR: 2.01, P < .001), and had a Charlson comorbidity index ≥3 (OR: 4.48, P < .001) were more likely to miss clinical appointments.
Conclusion: Patients who have ≥3 NS appointments prior to TKA had an increased risk for surgical site infection. Sociodemographic factors were associated with higher odds of missing a scheduled clinical appointment. These data suggest that orthopaedic surgeons should consider NS data as an important clinical decision-making tool to assess risk for postoperative complications to minimize complications following TKA.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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