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Nationwide Databases in Orthopaedic Surgery Research.骨科手术研究中的全国性数据库。
J Am Acad Orthop Surg. 2016 Oct;24(10):673-82. doi: 10.5435/JAAOS-D-15-00217.
2
Blood transfusion after total shoulder arthroplasty: Which patients are at high risk?全肩关节置换术后输血：哪些患者属于高危人群？
Int J Shoulder Surg. 2016 Apr-Jun;10(2):72-7. doi: 10.4103/0973-6042.180719.
3
Predictors of Hospital Length of Stay in an Enhanced Recovery After Surgery Program for Primary Total Hip Arthroplasty.初次全髋关节置换术后手术加速康复计划中住院时间的预测因素
J Arthroplasty. 2016 Oct;31(10):2119-23. doi: 10.1016/j.arth.2016.02.060. Epub 2016 Mar 10.
4
Age-related differences in the use of total shoulder arthroplasty over time: use and outcomes.随着时间推移，全肩关节置换术使用方面的年龄相关差异：使用情况及结果
Bone Joint J. 2015 Oct;97-B(10):1385-9. doi: 10.1302/0301-620X.97B10.35696.
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Length of Stay and Readmission After Total Shoulder Arthroplasty: An Analysis of 1505 Cases.全肩关节置换术后的住院时间和再入院情况：1505例病例分析
Am J Orthop (Belle Mead NJ). 2015 Aug;44(8):E268-71.
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Factors Affecting Length of Stay, Readmission, and Revision After Shoulder Arthroplasty: A Population-Based Study.影响肩关节置换术后住院时间、再入院和翻修的因素：一项基于人群的研究。
J Bone Joint Surg Am. 2015 Aug 5;97(15):1255-63. doi: 10.2106/JBJS.N.01107.
7
Predictors of extended length of stay after elective shoulder arthroplasty.择期肩关节置换术后延长住院时间的预测因素。
J Shoulder Elbow Surg. 2015 Oct;24(10):1527-33. doi: 10.1016/j.jse.2015.02.014. Epub 2015 Apr 10.
8
Future patient demand for shoulder arthroplasty by younger patients: national projections.未来年轻患者对肩关节置换术的需求：全国预测。
Clin Orthop Relat Res. 2015 Jun;473(6):1860-7. doi: 10.1007/s11999-015-4231-z. Epub 2015 Mar 11.
9
Impact of diabetes on hospital admission and length of stay among a general population aged 45 year or more: a record linkage study.糖尿病对45岁及以上普通人群住院率和住院时长的影响：一项记录链接研究。
BMC Health Serv Res. 2015 Jan 22;15:12. doi: 10.1186/s12913-014-0666-2.
10
Predictors of length of stay after elective total shoulder arthroplasty in the United States.美国择期全肩关节置换术后住院时间的预测因素。
J Shoulder Elbow Surg. 2015 May;24(5):754-9. doi: 10.1016/j.jse.2014.11.042. Epub 2015 Jan 13.

影响肩关节置换术后住院时间的围手术期因素。

Perioperative Factors Affecting the Length of Hospitalization After Shoulder Arthroplasty.

作者信息

King Joseph J, Patrick Matthew R, Struk Aimee M, Schnetzer Ryan E, Farmer Kevin W, Garvan Cynthia, Wright Thomas W

机构信息

Department of Orthopaedics and Rehabilitation (Dr. King, Dr. Patrick, Ms. Struk, Dr. Schnetzer, Dr. Farmer, and Dr. Wright), the College of Nursing (Dr. Garvan), and Orthopaedics and Sports Medicine Institute (Dr. Wright), University of Florida, Gainesville, FL.

出版信息

J Am Acad Orthop Surg Glob Res Rev. 2017 Oct 9;1(6):e026. doi: 10.5435/JAAOSGlobal-D-17-00026. eCollection 2017 Sep.

DOI:10.5435/JAAOSGlobal-D-17-00026
PMID:30211358
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6132328/
Abstract

OBJECTIVE

To determine factors related to length of hospitalization after shoulder arthroplasty.

METHODS

A retrospective review identified patients who underwent shoulder arthroplasty between 2009 and 2012 at our institution. Factors were evaluated for their association with hospitalization length in a univariate model. Diagnoses were categorized into four groups: (1) osteoarthritis, cuff tear arthropathy, massive rotator cuff tear, or osteonecrosis; (2) acute fracture or fracture sequelae; (3) inflammatory arthropathy; and (4) failed shoulder arthroplasty. Significant factors were then evaluated using a multivariate model.

RESULTS

Four hundred twenty-five shoulder arthroplasties were identified (average age, 66.9 years). Arthroplasty type significantly affected hospitalization length. Significant factors for increased hospitalization using multivariate analysis were diabetes mellitus, American Society of Anesthesiologists score of 3 or 4, acute fracture or fracture sequelae diagnosis, inflammatory arthropathy, and a blood transfusion.

DISCUSSION

Independent factors using multivariate analysis are diabetes, an American Society of Anesthesiologists score ≥3, fracture or fracture sequelae, inflammatory arthritis, and a perioperative blood transfusion.

LEVEL OF EVIDENCE

Level III therapeutic study.

摘要

目的

确定与肩关节置换术后住院时间相关的因素。

方法

一项回顾性研究纳入了2009年至2012年在本机构接受肩关节置换术的患者。在单变量模型中评估各因素与住院时间的相关性。诊断分为四组：（1）骨关节炎、肩袖撕裂性关节病、巨大肩袖撕裂或骨坏死；（2）急性骨折或骨折后遗症；（3）炎性关节病；（4）肩关节置换失败。然后使用多变量模型评估显著因素。

结果

共确定了425例肩关节置换术（平均年龄66.9岁）。置换类型显著影响住院时间。多变量分析显示，导致住院时间延长的显著因素包括糖尿病、美国麻醉医师协会评分为3或4、急性骨折或骨折后遗症诊断、炎性关节病以及输血。

讨论

多变量分析的独立因素为糖尿病、美国麻醉医师协会评分≥3、骨折或骨折后遗症、炎性关节炎以及围手术期输血。

证据级别

III级治疗性研究。