Buterbaugh Kristin L, Liu Stephen Y, Krajewski Aleksandra, Buterbaugh Glenn A, Imbriglia Joseph E
Department of Orthopaedic Surgery (Dr. K. L. Buterbaugh, Dr. Liu), University of Pennsylvania, Philadelphia, PA, and the Department of Plastic Surgery (Dr. Krajewski) and the Department of Orthopaedic Surgery (Dr. G. A. Buterbaugh, Dr. Imbriglia), University of Pittsburgh, Pittsburgh, PA.
J Am Acad Orthop Surg Glob Res Rev. 2018 Jan 11;2(1):e075. doi: 10.5435/JAAOSGlobal-D-17-00075. eCollection 2018 Jan.
With increasing utilization of surgery centers, it is important to demonstrate the safety of outpatient shoulder surgery in freestanding ambulatory surgery centers. No studies have specifically looked at the Medicare-age population and the rate of outpatient shoulder procedure complications in these patients at an ambulatory surgery center.
Six hundred forty patients were included in our study between 2000 and 2015. The incidence of major complications was identified, including acute infection requiring intravenous antibiotics or irrigation and débridement, postoperative transfer to a hospital, wrong-site surgical procedures, retention of a foreign object, postoperative symptomatic thromboembolism, medication errors, and bleeding/wound complications.
There was a total of seven occurrence reports in seven patients, for a reported adverse event rate of 1.01%.
Our findings are consistent with currently reported outpatient hospital-based data and illustrate the safety of outpatient shoulder procedures at a freestanding ambulatory surgery center in Medicare-age patients.
随着手术中心利用率的不断提高，证明独立门诊手术中心门诊肩部手术的安全性非常重要。尚无研究专门关注老年医疗保险人群以及这些患者在门诊手术中心进行门诊肩部手术的并发症发生率。
2000年至2015年间，我们的研究纳入了640名患者。确定了主要并发症的发生率，包括需要静脉使用抗生素或进行冲洗和清创的急性感染、术后转院、手术部位错误、异物残留、术后有症状的血栓栓塞、用药错误以及出血/伤口并发症。
共有7名患者出现7次不良事件报告，报告的不良事件发生率为1.01%。
我们的研究结果与目前报告的基于医院门诊的数据一致，表明在老年医疗保险患者的独立门诊手术中心进行门诊肩部手术是安全的。
