| Autor: |
Hinton ZW; Duke University Department of Orthopedic Surgery, Durham, North Carolina., Ryan SP; Duke University Department of Orthopedic Surgery, Durham, North Carolina., Wu CJ; Duke University Department of Orthopedic Surgery, Durham, North Carolina., Hernandez NM; Duke University Department of Orthopedic Surgery, Durham, North Carolina., Bolognesi MP; Duke University Department of Orthopedic Surgery, Durham, North Carolina., Seyler TM; Duke University Department of Orthopedic Surgery, Durham, North Carolina. |
| Jazyk: |
angličtina |
| Zdroj: |
Journal of surgical orthopaedic advances [J Surg Orthop Adv] 2023 Fall; Vol. 32 (3), pp. 169-172. |
| Abstrakt: |
Perioperative efficiency has become increasingly important with cost constraints and expanding indications for total hip arthroplasty (THA). We chose to analyze body mass index (BMI) and American Society of Anesthesiologists (ASA) score, in predicting perioperative efficiency. We retrospectively reviewed the institutional database for primary THAs from July 2015 to January 2018. Patient demographics and perioperative times lines were collected. A multivariable model was utilized to evaluate BMI (< 30, ≥ 30) and ASA (< 3, ≥ 3) for all outcomes. A total of 2,934 patients were included with mean age 62.0 (12.2) years, and 1,599 (54.5%) were female. A BMI ≥ 30 was associated with prolonged operative time (p < 0.001) while an ASA ≥ 3 was predictive of post-anesthesia care unit time (p < 0.001), physical therapy hours (p < 0.001), and length of stay (p < 0.001). Both BMI (p = 0.004) and ASA (p < 0.001) were associated with skilled nursing/rehabilitation dispositions. While BMI predicts prolonged operative time, ASA predicts perioperative delays for anesthesia, nursing, and physical therapy. (Journal of Surgical Orthopaedic Advances 32(3):169-172, 2023). |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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