The long-term outcome after treatment for patients with tibial fracture treated with intramedullary nailing is not influenced by time of day of surgery and surgeon experience
| Autor: | Juozas Petruskevicius, Rasmus Elsoe, L Koelner-Augustson, Sten Rasmussen, Peter Stein Larsen |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Sports medicine Denmark Operative Time Osteoarthritis 030204 cardiovascular system & hematology Critical Care and Intensive Care Medicine law.invention Intramedullary rod 03 medical and health sciences 0302 clinical medicine Time of day Postoperative Complications Trauma Centers law medicine Humans Orthopedics and Sports Medicine 030212 general & internal medicine Tibial fracture Retrospective Studies Surgeons business.industry Length of Stay Middle Aged medicine.disease Surgery Fracture Fixation Intramedullary Tibial Fractures Cross-Sectional Studies Treatment Outcome Emergency Medicine Female Clinical Competence Complication business After treatment Cohort study |
| Zdroj: | Larsen, P, Koelner-Augustson, L, Elsoe, R, Petruskevicius, J & Rasmussen, S 2017, ' The long-term outcome after treatment for patients with tibial fracture treated with intramedullary nailing is not influenced by time of day of surgery and surgeon experience ', European Journal of Trauma and Emergency Surgery, vol. 43, no. 2, pp. 221-226 . https://doi.org/10.1007/s00068-015-0622-9 Europe PubMed Central |
| DOI: | 10.1007/s00068-015-0622-9 |
| Popis: | The objective of the present study was to evaluate the relationship between clinical outcome and time of day of surgery and experience level of the surgeon. Secondly, we examined the relationship between the length of hospital stay and the time of day of surgery. This retrospective cross-sectional cohort design study included patients treated with intramedullary nailing at Aalborg University Hospital from 1998 to 2008 after tibial shaft fractures (N = 294). At follow-up, the participants completed the Knee Injury and Osteoarthritis Outcome Score (KOOS). Age, sex, complications, length of hospital stay, start time of surgery, and education level of surgeons were recorded. The long-term analysis of the KOOS assessment shows no significant association between time of day of surgery and the level of surgeon experience. There was no difference in complication rates between time of day of surgery and the level of surgeon experience. The secondary outcome analysis showed an estimated increased risk of 25 % (p = 0.001), for a longer length of hospital stay when operated by a trainee at night-hours compared to day-hours, and an estimated increased risk of 17 % (p = 0.002) for longer length of stay, when operated at day-hours by a trauma surgeon compared to a trainee. Complication rates and KOOS outcome after surgery with intramedullary nailing were not influenced by time of day of surgery and experience level of the surgeon. The lengths of hospital stay increase significantly when surgery is performed at night by trainee surgeons, but not when performed by trauma surgeons. |
| Databáze: | OpenAIRE |
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