Revision ACL reconstruction has higher incidence of 30-day hospital readmission, reoperation, and surgical complications relative to primary procedures

Autor: John Carney, Vehniah K. Tjong, Mark A. Plantz, Erik B. Gerlach, Jeremy S. Marx, Peter R. Swiatek, Colin K. Cantrell
Rok vydání: 2021
Předmět:
Zdroj: Knee Surgery, Sports Traumatology, Arthroscopy. 30:1605-1610
ISSN: 1433-7347
0942-2056
Popis: Although there has been substantial improvement in ACL reconstructive surgery, graft failure remains a devastating complication for some patients. Revision procedures are inherently more complex and technically challenging. The purpose of this study is to determine the incidence of short-term complications after these procedures and to compare trends in operative length, relative valuation, and reimbursement after primary versus revision ACL reconstruction. Primary and revision arthroscopic ACL reconstruction cases were identified on the American College of Surgeons’ NSQIP database using Current Procedural Terminology (CPT) and International Classification of Diseases (ICD) codes between January 1, 2012 and December 31, 2017. Demographics, patient variables, and surgical variables were compared between primary and revision groups using Chi-squared tests. Logistic regression was used to identify independent risk factors for revision ACL reconstruction. Various 30-day outcome measures were compared between the primary and revision ACL reconstruction groups. Various measures of valuation—including total relative value units (RVU) and reimbursement per minute—were calculated and compared between the two groups. A total of 8292 patients—8135 primary and 157 revision procedures—were included in the final cohort. Higher ASA scores were associated with revision ACL reconstructions. Patients undergoing revision procedures were less likely to have an ASA score of 1 (p
Databáze: OpenAIRE
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