Impact of Obesity, Smoking, and Age on 30-Day Postoperative Outcomes of Patients Undergoing Arthroscopic Meniscus Surgery.

IF 1.1 4区医学 Q3 ORTHOPEDICS Orthopedics Pub Date : 2024-09-04 DOI:10.3928/01477447-20240826-04

Brian T Ford, Ryan Kong, Ian J Wellington, Frank A Segreto, David H Mai, Jack Zhou, William Urban

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Abstract

Background: The purpose of this study was to evaluate the impact that obesity, smoking, and older age have on 30-day postoperative complications, reoperations, and readmissions of patients undergoing arthroscopic meniscectomy or meniscus repair.

Materials and methods: The American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database was queried to identify meniscus surgeries and operative outcomes between 2008 and 2016. Controlled regression analysis was then performed to evaluate for an association between obesity, age, and smoking and these outcomes.

Results: While obesity showed no influence on adverse postoperative complications or reoperations, class I obesity was associated with a lower rate of readmission. Older age, smoking, and comorbidity burden were significant predictors of postoperative complications, reoperations, and/or readmissions. Age 80 years or older was particularly predictive of 30-day complications (odds ratio, 3.5; P<.001) and readmissions (odds ratio, 2.5; P=.004).

Conclusion: Obesity is not a major risk factor for complications when undergoing meniscus surgery, while age older than 70 years predicts negative short-term postoperative outcomes. [Orthopedics. 20XX;4X(X):XXX-XXX.].

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肥胖、吸烟和年龄对关节镜半月板手术患者术后 30 天疗效的影响

研究背景本研究旨在评估肥胖、吸烟和高龄对关节镜下半月板切除术或半月板修复术患者术后30天并发症、再次手术和再住院的影响：通过查询美国外科学院国家外科质量改进计划（NSQIP）数据库，确定了2008年至2016年间的半月板手术和手术结果。然后进行了控制回归分析，以评估肥胖、年龄和吸烟与这些结果之间的关联：虽然肥胖对术后并发症或再手术没有影响，但I级肥胖与较低的再入院率有关。高龄、吸烟和合并症负担是术后并发症、再次手术和/或再次入院的重要预测因素。80岁或80岁以上的患者尤其容易出现30天并发症（几率比3.5；PP=.004）：结论：肥胖并不是半月板手术并发症的主要风险因素，而年龄超过70岁则预示着术后短期的不良后果。[Orthopedics.20XX;4X(X):XXX-XXX.]。

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

Orthopedics 医学-整形外科

CiteScore

2.20

自引率

0.00%

发文量

160

审稿时长

3 months

期刊介绍： For over 40 years, Orthopedics, a bimonthly peer-reviewed journal, has been the preferred choice of orthopedic surgeons for clinically relevant information on all aspects of adult and pediatric orthopedic surgery and treatment. Edited by Robert D''Ambrosia, MD, Chairman of the Department of Orthopedics at the University of Colorado, Denver, and former President of the American Academy of Orthopaedic Surgeons, as well as an Editorial Board of over 100 international orthopedists, Orthopedics is the source to turn to for guidance in your practice. The journal offers access to current articles, as well as several years of archived content. Highlights also include Blue Ribbon articles published full text in print and online, as well as Tips & Techniques posted with every issue.