South Yorkshire Surgical Research Group (SYSuRG), Sheffield Medical School, South Yorkshire, S10 2RX, UK.
Arch Orthop Trauma Surg. 2019 Oct;139(10):1351-1360. doi: 10.1007/s00402-019-03144-4. Epub 2019 Mar 20.
All the surgeries carry risks, which may lead to readmission at a later date. At present, there is limited Trauma and Orthopaedic (T&O) specific data in the literature. As a result, a prospective regional service evaluation aimed to discover the current complication and readmission rates across all T&O procedures and identify any factors associated with these outcomes.
Data were collected at six sites across Yorkshire and Humber for all T&O procedures during October 2016. Patient demographics and procedure-specific data were collected. Post-operative complications and length of stay were recorded. All the patients were then followed up for 30 days post-discharge to determine if they experienced complications which resulted in readmission and further surgical intervention.
1411 patients having a total of 64 operations were recorded with 1391 completing follow-up (98.5%). Overall in-patient complication rate was 8.4% with the readmission rate being 4.4%. An ASA grade of three or more was found to be associated with readmission. Procedure-related factors such as the use of VTE prophylaxis and prophylactic antibiotics, as well as the elective nature of certain operations were negatively associated with readmission. The largest subgroup of patients was those undergoing total hip (THR) or knee replacements (TKR). For these 234 patients, the readmission rate for TKR and THR being 3.77% and 3.13%, respectively.
This large, multi-centre project describes readmission rates following trauma and orthopaedic surgery. In the presented study, the elective nature of the procedure was associated with a reduced risk of readmission.
所有手术都存在风险，这可能导致日后再次入院。目前，文献中创伤骨科（T&O）的具体数据有限。因此，进行了一项前瞻性区域服务评估，旨在发现所有 T&O 手术的当前并发症和再入院率，并确定与这些结果相关的任何因素。
在 2016 年 10 月，在约克郡和亨伯地区的六个地点收集所有 T&O 手术的数据。收集患者人口统计学和手术特定数据。记录术后并发症和住院时间。然后对所有患者进行 30 天的随访，以确定他们是否经历过导致再次入院和进一步手术干预的并发症。
共记录了 1411 名患者的 64 项手术，其中 1391 名患者完成了随访（98.5%）。总体住院并发症发生率为 8.4%，再入院率为 4.4%。ASA 分级为 3 级或以上与再入院相关。与再入院相关的程序相关因素，如使用 VTE 预防和预防性抗生素，以及某些手术的择期性质，与再入院呈负相关。最大的患者亚组是接受全髋关节（THR）或膝关节置换术（TKR）的患者。对于这 234 名患者，TKR 和 THR 的再入院率分别为 3.77%和 3.13%。
这项大型多中心项目描述了创伤骨科手术后的再入院率。在本研究中，手术的择期性质与降低再入院风险相关。
