Factors that predict short-term complication rates after total hip arthroplasty.
Factors that predict short-term complication rates after total hip arthroplasty.
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DOI：
10.1007/s11999-010-1354-0
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发表时间：
2010-09
影响因子：
4.2
通讯作者：
Zingmond DS
中科院分区：
文献类型：
--
作者：
Soohoo NF;Farng E;Lieberman JR;Chambers L;Zingmond DS
患者因素（例如合并症）和提供者因素（例如医院规模）在预测全髋关节置换术（THA）后并发症发生率方面的相对重要性仍存在不确定性。因此，我们确定了预测全髋关节置换术后并发症的患者和提供者因素。我们回顾了 1995 年至 2005 年间在加利福尼亚州接受初次 THA 的 138,399 名患者的出院数据。术后前 90 天的并发症发生率（死亡率、感染、脱位、翻修、围手术期骨折、神经损伤和血栓栓塞性疾病）针对各种自变量进行了回归，包括患者因素（年龄、性别、种族/族裔、收入、Charlson 合并症评分）和 提供者变量（医院数量、教学状况、农村地点）。与在高容量医院（高于 20%）接受治疗的患者相比，在低容量医院（低于 60%）接受治疗的患者出现短期并发症的总体风险较高（优势比为 2.00）。多种患者因素也与并发症风险增加有关：查尔森合并症评分增加、糖尿病、类风湿性关节炎、高龄、男性和黑人种族。西班牙裔和亚洲患者发生并发症的风险较低。患者和提供者的特征影响全髋关节置换术后短期并发症的风险。这些结果可能有助于对患者进行教育并预测不同患者群体的围手术期 THA 风险。 II级，预后研究。有关证据级别的完整描述，请参阅作者指南。
There remains uncertainty regarding the relative importance of patient factors such as comorbidity and provider factors such as hospital volume in predicting complication rates after total hip arthroplasty (THA). We therefore identified patient and provider factors predicting complications after THA. We reviewed discharge data from 138,399 patients undergoing primary THA in California from 1995 to 2005. The rate of complications during the first 90 days postoperatively (mortality, infection, dislocation, revision, perioperative fracture, neurologic injury, and thromboembolic disease) was regressed against a variety of independent variables, including patient factors (age, gender, race/ethnicity, income, Charlson comorbidity score) and provider variables (hospital volume, teaching status, rural location). Compared with patients treated at high-volume hospitals (above the 20th percentile), patients treated at low-volume hospitals (below the 60th percentile) had a higher aggregate risk of having short-term complications (odds ratio, 2.00). A variety of patient factors also had associations with an increased risk of complications: increased Charlson comorbidity score, diabetes, rheumatoid arthritis, advanced age, male gender, and black race. Hispanic and Asian patients had lower risks of complications. Patient and provider characteristics affected the risk of a short-term complication after THA. These results may be useful for educating patients and anticipating perioperative risks of THA in different patient populations. Level II, prognostic study. See Guidelines for Authors for a complete description of levels of evidence.
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影响因子：
7.2
作者：
DEYO, RA;CHERKIN, DC;CIOL, MA
通讯作者：
CIOL, MA
影响因子：
5.3
作者：
SooHoo, NF;Lieberman, JR;Zingmond, DS
通讯作者：
Zingmond, DS
DOI：
10.2106/00004623-200301000-00005
发表时间：
2003-01-01
影响因子：
5.3
作者：
Mahomed, NN;Barrett, JA;Baron, JA
通讯作者：
Baron, JA
影响因子：
7.2
作者：
Zingmond, DS;Ye, ZS;Liu, HH
通讯作者：
Liu, HH
影响因子：
--
作者：
Katz, JN;Phillips, CB;Losina, E
通讯作者：
Losina, E