The Effect of Height on Adverse Short-Term Outcomes After Lower-Extremity Bypass Surgery in Patients with Diabetes Mellitus.

IF 0.5 4区 医学 Q4 ORTHOPEDICS Journal of the American Podiatric Medical Association Pub Date : 2024-07-01 DOI:10.7547/21-258
Kushkaran Kaur, Rhonda S Cornell, Lawrence Oresanya, Andrew J Meyr
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Abstract

Background: We evaluated adverse short-term outcomes after open lower-extremity bypass surgery in patients with diabetes mellitus with a comparison performed based on patient height.

Methods: The American College of Surgeons National Surgical Quality Improvement Program database was analyzed to select patients with Current Procedural Terminology codes 35533, 35540, 35556, 35558, 35565, 35566, 35570, and 35571 and with the diagnosis of diabetes mellitus. This resulted in 83 patients 60 inches or less in height, 1,084 between 60 and 72 inches, and 211 patients 72 inches and taller.

Results: No differences were observed among groups with respect to the development of a superficial surgical site infection (9.6% versus 6.4% versus 5.7%; P = .458), deep incisional infection (1.2% versus 1.4% versus 2.8%; P = .289), sepsis (2.4% versus 2.0% versus 2.8%; P = .751), unplanned reoperation (19.3% versus 15.6% versus 21.8%; P = .071), or unplanned hospital readmission (19.3% versus 14.8% versus 17.1%; P = .573). A significant difference was observed among groups in the development of a wound disruption (4.8% versus 1.3% versus 4.7%; P = .001). A multivariate regression analysis was performed of the wound disruption outcome with the variables of age, sex, race, ethnicity, height, weight, current smoker, and open wound/wound infection. Race (P = .025) and weight (P = .003) were found to be independently associated with wound disruption, but height was not (P = .701).

Conclusions: The results of this investigation demonstrate no significant differences in short-term adverse outcomes after lower-extremity bypass surgery based on patient height.

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身高对糖尿病患者下肢搭桥手术后短期不良后果的影响
背景:我们评估了糖尿病患者开放性下肢搭桥手术后的短期不良后果,并根据患者身高进行了比较:我们对美国外科学院国家外科质量改进计划数据库进行了分析,选择了当前手术术语代码为 35533、35540、35556、35558、35565、35566、35570 和 35571 且诊断为糖尿病的患者。结果显示,身高在 60 英寸或以下的患者有 83 人,60 至 72 英寸的患者有 1,084 人,72 英寸及以上的患者有 211 人:结果:在发生浅表手术部位感染(9.6% 对 6.4% 对 5.7%; P = .458)、深部切口感染(1.2% 对 1.4% 对 2.8%;P = .289)、败血症(2.4% 对 2.0% 对 2.8%;P = .751)、计划外再次手术(19.3% 对 15.6% 对 21.8%;P = .071)或计划外再次入院(19.3% 对 14.8% 对 17.1%;P = .573)。在出现伤口破坏方面,各组之间存在明显差异(4.8% 对 1.3% 对 4.7%;P = .001)。将伤口破坏结果与年龄、性别、种族、民族、身高、体重、目前是否吸烟以及开放性伤口/伤口感染等变量进行了多变量回归分析。结果发现,种族(P = .025)和体重(P = .003)与伤口破坏有独立关联,但身高与伤口破坏无关(P = .701):结论:这项调查结果表明,下肢搭桥手术后的短期不良预后与患者身高无明显差异。
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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
128
审稿时长
6-12 weeks
期刊介绍: The Journal of the American Podiatric Medical Association, the official journal of the Association, is the oldest and most frequently cited peer-reviewed journal in the profession of foot and ankle medicine. Founded in 1907 and appearing 6 times per year, it publishes research studies, case reports, literature reviews, special communications, clinical correspondence, letters to the editor, book reviews, and various other types of submissions. The Journal is included in major indexing and abstracting services for biomedical literature.
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