The Impact of Resident Involvement on Surgical Outcomes following Anterior Cruciate Ligament Reconstruction
| Autor: | Shgufta Docter, Ryan M. Degen, Robert Litchfield, Alan Getgood, Kate Lebedeva, Dianne Bryant |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Databases Factual Anterior cruciate ligament reconstruction medicine.medical_treatment Operative Time Young Adult 03 medical and health sciences 0302 clinical medicine Risk Factors medicine Humans Orthopedics and Sports Medicine Propensity Score 030222 orthopedics Univariate analysis Anterior Cruciate Ligament Reconstruction business.industry General surgery Incidence (epidemiology) Significant difference Univariate Internship and Residency Postoperative complication 030229 sport sciences Length of Stay Quality Improvement Treatment Outcome Propensity score matching Operative time Female Surgery business |
| Zdroj: | The Journal of Knee Surgery. 34:287-292 |
| ISSN: | 1938-2480 1538-8506 |
| DOI: | 10.1055/s-0039-1695705 |
| Popis: | Hands-on participation in the operating room (OR) is an integral component of surgical resident training. However, the implications of resident involvement in many orthopaedic procedures are not well defined. This study aims to assess the effect of resident involvement on short-term outcomes following anterior cruciate ligament reconstruction (ACLR). The National Surgical Quality Improvement Program (NSQIP) database was queried to identify all patients who underwent ACLR from 2005 to 2012. Demographic variables, resident participation, 30-day complications, and intraoperative time parameters were assessed for all cases. Resident and nonresident cases were matched using propensity scores. Outcomes were analyzed using univariate and multivariate regression analyses, as well as stratified by resident level of training. Univariate analysis of 1,222 resident and 1,188 nonresident cases demonstrated no difference in acute postoperative complication rates between groups. There was no significant difference in the incidence of overall complications based on resident level of training (p = 0.109). Operative time was significantly longer for cases in which a resident was involved (109.5 vs. 101.7 minutes; p |
| Databáze: | OpenAIRE |
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