The association of ASA score and outcomes following total ankle arthroplasty

IF 1.9 3区医学 Q2 ORTHOPEDICS Foot and Ankle Surgery Pub Date : 2024-08-01 DOI:10.1016/j.fas.2024.03.011

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Abstract

Background

This study seeks to evaluate the relationship between American Society of Anesthesiologist (ASA) score and postoperative outcomes following TAA.

Methods

The American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) database was queried from 2007 to 2020 to identify 2210 TAA patients. Patients were stratified into low (n = 1328; healthy/mild systemic disease) or high (n = 881; severe/life-threatening systemic disease) ASA score cohorts.

Results

There was no statistically significant difference in complications, readmission, or reoperation rate based on ASA score. Increased ASA score was significantly associated with longer length of stay (low = 1.69 days, high = 1.98 days; p < .001) and higher rate of adverse discharge (low = 95.3 %, high = 87.4 %; p < .001).

Conclusion

Higher ASA scores (3 and 4) were statically significantly associated with increased length of stay and non-home discharge disposition. These findings are valuable for physicians and patients to consider prior to TAA given the increased utilization of resources and cost associated with higher ASA scores.

Level of Evidence

Level III, Retrospective cohort study

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ASA 评分与全踝关节置换术后疗效的关系

背景本研究旨在评估美国麻醉医师协会（ASA）评分与TAA术后预后之间的关系。方法查询了美国外科学院（ACS）国家外科质量改进计划（NSQIP）数据库2007年至2020年的数据，确定了2210名TAA患者。将患者分为ASA评分低（n = 1328；健康/轻度全身性疾病）或高（n = 881；严重/危及生命的全身性疾病）两组。结果根据ASA评分，并发症、再入院或再手术率没有显著统计学差异。ASA评分越高，住院时间越长（低分 = 1.69 天，高分 = 1.98 天；p < .001），不良出院率越高（低分 = 95.3 %，高分 = 87.4 %；p < .001）。鉴于较高的 ASA 评分会增加资源利用率和成本，这些研究结果对医生和患者在进行 TAA 之前的考虑很有价值。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Foot and Ankle Surgery ORTHOPEDICS-

CiteScore

4.60

自引率

16.00%

发文量

202

期刊介绍： Foot and Ankle Surgery is essential reading for everyone interested in the foot and ankle and its disorders. The approach is broad and includes all aspects of the subject from basic science to clinical management. Problems of both children and adults are included, as is trauma and chronic disease. Foot and Ankle Surgery is the official journal of European Foot and Ankle Society. The aims of this journal are to promote the art and science of ankle and foot surgery, to publish peer-reviewed research articles, to provide regular reviews by acknowledged experts on common problems, and to provide a forum for discussion with letters to the Editors. Reviews of books are also published. Papers are invited for possible publication in Foot and Ankle Surgery on the understanding that the material has not been published elsewhere or accepted for publication in another journal and does not infringe prior copyright.