Impact of diabetes on early postoperative outcomes after total elbow arthroplasty
| Autor: | Sonia Vasdev, Khaled J. Saleh, David Pope, Tony H. Tzeng, Steven L. Scaife |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Multivariate analysis Blood transfusion medicine.medical_treatment Insurance type Cohort Studies Diabetes Complications Postoperative Complications Risk Factors Diabetes mellitus Internal medicine Outcome Assessment Health Care medicine Humans Total elbow arthroplasty Blood Transfusion Orthopedics and Sports Medicine Risk factor Intraoperative Complications Aged Aged 80 and over business.industry Arthroplasty Replacement Elbow General Medicine Perioperative Length of Stay Middle Aged medicine.disease Arthroplasty United States Surgery Hospitalization Case-Control Studies Multivariate Analysis Female business |
| Zdroj: | Journal of Shoulder and Elbow Surgery. 24:348-352 |
| ISSN: | 1058-2746 |
| DOI: | 10.1016/j.jse.2014.10.008 |
| Popis: | Background Diabetes is known to be associated with poorer perioperative outcomes after hip, knee, and shoulder arthroplasty. This study is the first, to our knowledge, to examine the association between diabetes and in-hospital complications, length of stay, non-homebound discharge, transfusion risk, and total charges after total elbow arthroplasty (TEA). Methods By use of International Classification of Diseases, Ninth Revision codes, epidemiologic as well as patient and hospital demographic data for all patients undergoing TEA were extracted from the Nationwide Inpatient Sample from 2007 through 2011. We found 13,698 patients who underwent TEA and subsequently separated them into 2 cohorts, those patients with (16.5%) and without (83.5%) diabetes. Specific outcome measures between the diabetic and nondiabetic cohorts were compared through bivariate and multivariate analyses. Results Diabetic patients had significantly longer lengths of stay, increased rates of needing a transfusion perioperatively, and higher rates of a number of complications after TEA compared with the nondiabetic group. Significant differences in demographic factors in diabetic patients compared with nondiabetic patients included age, gender, insurance type, and geography. Diabetes was an independent predictor of both prolonged hospital stay and non-homebound discharge after TEA. Discussion Diabetic patients have significantly higher rates of several perioperative complications, and diabetes is an independent risk factor for prolonged hospital stay, as well as increased risk of non-homebound discharge. Future studies need to further investigate this relationship between diabetes and poorer TEA outcomes. |
| Databáze: | OpenAIRE |
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