Characteristics of inpatient anterior cruciate ligament reconstructions and concomitant injuries
Characteristics of inpatient anterior cruciate ligament reconstructions and concomitant injuries
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DOI：
10.1007/s00167-014-3478-3
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发表时间：
2016-09-01
影响因子：
3.8
通讯作者：
Hewett, Timothy E.
中科院分区：
文献类型：
--
作者：
Bates, Nathaniel A.;McPherson, April L.;Hewett, Timothy E.
这项流行病学研究的目的是量化 2003 年至 2011 年美国需要住院的前十字韧带重建 (ACLR) 手术的发生率、费用和伴随损伤。据推测，与所有其他并发膝关节损伤相比，MCL 和半月板并发膝关节损伤的相对报告率更高。使用 ICD-9-CM 代码对 2003 年至 2011 年的全国住院患者样本进行回顾性抽样，以识别 ACLR 患者并推断全国平均值。2003 年至 2011 年之间，平均为 9,037 +/- 1,728 名住院患者住院治疗包括 ACLR，其中 4,252 +/- 1,824 名患者主要因 ACLR 住院。主要因 ACLR 导致的住院就诊平均住院时间为 1.7 +/- 0.2 天，每位患者的费用为 30,118 +/- 9,066 美元。与住院 ACLR 一起报告的常见膝关节损伤包括内侧半月板损伤 (18.1%)、外侧半月板损伤 (16.8%)、副韧带修复 (12.3%) 和内侧副韧带拉伤 (6.9%)。半月板损伤的患病率多年来保持一致，但 MCL 相关损伤随着时间的推移而增加。在美国，ACLR 相关住院患者约占每年进行的 ACLR 总数的 7.1%。住院 ACLR 手术的频率持续下降；然而，每位患者的平均费用增加了。半月板和副韧带损伤是最常见的伴随膝关节损伤。这项调查的临床相关性在于，它通过大量临床患者队列了解了住院患者中 ACLR 手术的发生率和费用的现状。预后、回顾性研究，II 级。
The purpose of this epidemiologic study was to quantify the incidence, expense, and concomitant injuries for anterior cruciate ligament reconstruction (ACLR) procedures in the USA from 2003 to 2011 that required an inpatient stay. It was hypothesized that the relative reported rates of concomitant knee injuries would be greater with the MCL and menisci compared to all other concomitant knee injuries.The National Inpatient Sample from 2003 to 2011 was retrospectively sampled using ICD-9-CM codes to identify ACLR patients and to extrapolate national averages.Between the years of 2003-2011, an average of 9,037 +/- 1,728 inpatient hospitalization included ACLRs, of which 4,252 +/- 1,824 were primarily due to the ACLR. Inpatient visits primarily due to ACLR involved an average hospitalization of 1.7 +/- 0.2 days and cost $30,118 +/- 9,066 per patient. Knee injuries that were commonly reported along with inpatient ACLRs included medial meniscus damage (18.1 %), lateral meniscus damage (16.8 %), collateral ligament repairs (12.3 %), and medial collateral ligament strains (6.9 %). Prevalence of meniscus injuries was consistent across years, but MCL-related injuries increased over time.ACLR-related inpatient hospitalizations account for approximately 7.1 % of the total ACLRs performed annually in the USA. Inpatient ACLR procedures continue to decrease in frequency; however, the mean cost per patient increased. Meniscus and collateral ligament injuries were the most commonly reported concomitant knee injuries. The clinical relevance of this investigation is that it informs, on a large clinical cohort of patients, the current state of incidence and expense for ACLR surgeries in an inpatient setting.Prognostic, retrospective study, Level II.