对发病率和死亡率最高的骨科手术进行排名。

IF 1.1 4区 医学 Q3 ORTHOPEDICS Orthopedics Pub Date : 2024-09-19 DOI:10.3928/01477447-20240913-02
Brady S Ernst,Nicholas R Kiritsis,Phillip B Wyatt,Charles R Reiter,Conor N O'Neill,James R Satalich,Alexander R Vap
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引用次数: 0

摘要

背景肌肉骨骼疾病目前影响着三分之一以上的美国人口,而矫形手术在治疗这些疾病方面发挥着关键作用。与任何侵入性干预一样,这些手术都具有广泛的风险,因此有必要全面了解相关的发病率和死亡率。本研究试图从全球视角审视与这些手术相关的风险和并发症,为患者和医疗服务提供者建立一个易于理解的风险分层工具。材料和方法在美国外科学院国家外科质量改进计划数据库中确定了 2018 年至 2020 年与骨科手术相关的当前程序术语代码。结果共有 698,549 名患者接受了与 94 个 CPT 代码相关的骨科手术,其中至少有 1 例发病事件,144 个 CPT 代码至少有 1 例 AAE。死亡率最高的 CPT 代码是 27590 或膝关节以上截肢。与 AAE 发生率最高相关的 CPT 代码是 27507 或股骨柄骨折的钢板和螺钉开放治疗。与下肢手术和最常在老年人群中实施的手术相关的风险增加具有很强的偏向性。[骨科。202x;4x(x):xx-xx]。
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Ranking the Orthopedic Procedures With the Highest Morbidity and Mortality.
BACKGROUND Musculoskeletal conditions currently affect more than one-third of the US population and orthopedic procedures play a pivotal role in managing them. Like any invasive intervention, these carry a wide spectrum of risk, necessitating a comprehensive understanding of the associated morbidity and mortality. This study sought to provide a global perspective of the risks and complications associated with these procedures to establish an easy to understand risk stratification tool for both patients and providers. MATERIALS AND METHODS Current Procedural Terminology codes associated with orthopedic surgery were identified in the American College of Surgeons National Surgical Quality Improvement Program database from 2018 to 2020. Each code was associated with its rate of 30-day mortality as well as any adverse event (AAE) and then ranked for descriptive analysis. RESULTS In total, there were 698,549 patients who underwent orthopedic procedures associated with 94 CPT codes with at least 1 morbidity event and 144 CPT codes with at least 1 AAE. The CPT code associated with the highest mortality was 27590 or above knee amputation. The CPT code associated with the highest rate of AAE was 27507 or open treatment of femoral shaft fracture with plate and screws. CONCLUSION This is the first study to compare the rates of morbidity and mortality in all patients with orthopedic procedures. There was a strong bias toward increased risk associated with lower extremity surgery and surgery most often performed in the geriatric population. [Orthopedics. 202x;4x(x):xx-xx.].
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来源期刊
Orthopedics
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.
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