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本文引用的文献

1
[More patients in a shorter inpatient stay with better outcome in treatment of femoral neck fracture: external quality assurance in Westfalia-Lippe on 50,354 patients].[股骨颈骨折治疗中住院时间缩短且患者更多、结局更佳：威斯特法伦-利珀地区对50354例患者的外部质量保证]
Unfallchirurg. 2014 Nov;117(11):1012-23. doi: 10.1007/s00113-013-2422-1.
2
Effect of post-discharge venous thromboembolism on hospital quality comparisons following hip and knee arthroplasty.髋关节和膝关节置换术后出院后静脉血栓栓塞对医院质量比较的影响。
J Bone Joint Surg Am. 2014 Sep 3;96(17):1476-84. doi: 10.2106/JBJS.M.01248.
3
[Quality of documentation of intraoperative and postoperative complications : improvement of documentation for a nationwide quality assurance program and comparison with routine data].[术中及术后并发症的记录质量：为全国质量保证计划改进记录并与常规数据进行比较]
Chirurg. 2014 Aug;85(8):705-10. doi: 10.1007/s00104-013-2696-4.
4
Obesity, diabetes, and preoperative hyperglycemia as predictors of periprosthetic joint infection: a single-center analysis of 7181 primary hip and knee replacements for osteoarthritis.肥胖症、糖尿病和术前高血糖作为人工关节置换术后感染的预测因素：对 7181 例原发性髋关节和膝关节骨关节炎置换术的单中心分析。
J Bone Joint Surg Am. 2012 Jul 18;94(14):e101. doi: 10.2106/JBJS.J.01935.
5
The relationship between the American Society Of Anesthesiologists physical rating and outcome following total hip and knee arthroplasty: an analysis of theNew Zealand Joint Registry.美国麻醉医师协会身体状况评级与全髋关节和膝关节置换术后结局的关系：新西兰关节登记处的分析。
J Bone Joint Surg Am. 2012 Jun 20;94(12):1065-70. doi: 10.2106/JBJS.J.01681.
6
Morbidly obese, diabetic, younger, and unilateral joint arthroplasty patients have elevated total joint arthroplasty infection rates.病态肥胖、糖尿病、年轻和单侧关节置换患者的全关节置换感染率较高。
J Arthroplasty. 2009 Sep;24(6 Suppl):84-8. doi: 10.1016/j.arth.2009.05.016. Epub 2009 Jul 15.
7
Patient characteristics affecting the prognosis of total hip and knee joint arthroplasty: a systematic review.影响全髋关节和膝关节置换术预后的患者特征：一项系统综述。
Can J Surg. 2008 Dec;51(6):428-36.
8
In-hospital deaths following elective total joint arthroplasty.择期全关节置换术后的院内死亡情况。
Orthopedics. 2004 Apr;27(4):407-11. doi: 10.3928/0147-7447-20040401-18.
9
Can administrative data be used to ascertain clinically significant postoperative complications?行政数据能否用于确定具有临床意义的术后并发症？
Am J Med Qual. 2002 Jul-Aug;17(4):145-54. doi: 10.1177/106286060201700404.

翻修全髋关节置换术的质量保证

Quality assurance in revision total hip arthroplasty.

作者信息

Koutras Christos, Becker Isabel, Antoniou Stavros A, Heep Hansjoerg

机构信息

Klinikum Arnsberg, Clinic for Orthopaedics, Nordring 37-41, 59821, Arnsberg, Germany.

University Duisburg-Essen, Hufelandstraße 55, 45147, Essen, Germany.

出版信息

J Orthop. 2018 Aug 24;15(4):909-912. doi: 10.1016/j.jor.2018.08.025. eCollection 2018 Dec.

DOI:10.1016/j.jor.2018.08.025
PMID:30181685
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6120421/
Abstract

OBJECTIVE

To compare two different methods of clinical outcomes prospective documentation after revision hip arthroplasty: external and internal.

METHODS

Chi-squared test, Fisher's exact test and binary logistic regression analyses were performed.

RESULTS

Eighty one patients experienced a complication (520 arthroplasties). A significant difference was found between the two documentation methods in the variable "hematoma and postoperative hemorrhage", and a significant reduction of the internally and externally documented "total complication rate". Furthermore, the "length of hospital stay" and "duration of operation" predicted independently the occurrence of complications.

CONCLUSION

Further improvement of documentation methods is required to measure the perioperative morbidity.

摘要

目的

比较髋关节翻修术后临床结局前瞻性记录的两种不同方法：外部记录法和内部记录法。

方法

进行卡方检验、费舍尔精确检验和二元逻辑回归分析。

结果

81例患者出现并发症（共520例关节成形术）。在“血肿和术后出血”变量方面，两种记录方法之间存在显著差异，且内部和外部记录的“总并发症率”均显著降低。此外，“住院时间”和“手术时长”可独立预测并发症的发生。

结论

需要进一步改进记录方法以衡量围手术期发病率。