지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.12
- 수록면
- 219 - 224 (6page)
이용수
초록· 키워드
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Purpose: The purpose of this study was to evaluate whether patients undergoing primary total hip arthroplasty (THA) at a higher elevation have higher rates of: 1) in-hospital length of stay (LOS); 2) surgical site infections (SSIs); 3) periprosthetic joint infections (PJIs); and 4) costs.
Materials and Methods: The Medicare claims database was used to identify patients who underwent primary THA at an altitude higher than 4,000 feet (ft). High-altitude patients were matched to patients who underwent primary THA at an altitude less than 100 ft, yielding 24,958 and 124,765 patients respectively. Outcomes that were assessed included in-hospital LOS, SSIs, PJIs, and costs of care. A P-value less than 0.001 was considered statistically significant.
Results: Patients in the study group had significantly longer in-hospital LOS (4 days vs 3 days, P<0.0001). In addition, patients in the study group had a significantly higher incidence and odds of developing SSIs (1.16% vs 0.86%; odds ratio [OR], 1.34; P<0.0001) and PJIs (0.91% vs 0.58%; OR, 1.56; P<0.0001) within 90-days following the index procedure, compared to matched controls. Higher altitude patients incurred higher day of surgery ($16,139.76 vs $15,279.42; P<0.0001) and 90-day costs ($18,647.51 vs $16,401.62; P<0.0001).
Conclusion: This study demonstrated that primary THA procedures performed at an elevation higher than 4,000 ft are associated with longer in-hospital LOS, higher rates of SSIs, PJIs, and costs of care. Orthopedists and other healthcare professionals can use this information to provide adequate education for these patients regarding the potential complications that may occur following their procedure.
목차
등록된 정보가 없습니다.
참고문헌 (19)
참고문헌 신청
Aasen DM / 2019 / Association of hospital altitude and postoperative infectious complications after major operations / High Alt Med Biol 20:421~426
Hanna JM / 1999 / Climate, altitude, and blood pressure / Hum Biol 71:553~582
Mason NP / 2000 / The physiology of high altitude : an introduction to the cardio-respiratory changes occurring on ascent to altitude / Curr Anaesth Crit Care 11:34~41
Ninivaggi M / 2015 / Hypoxia induces a prothrombotic state independently of the physical activity / PLoS One 10:e0141797
Bendz B / 2000 / Association between acute hypobaric hypoxia and activation of coagulation in human beings / Lancet 356:1657~1658
Hanna JM / 1999 / Climate, altitude, and blood pressure / Hum Biol 71:553~582
Mason NP / 2000 / The physiology of high altitude : an introduction to the cardio-respiratory changes occurring on ascent to altitude / Curr Anaesth Crit Care 11:34~41
Ninivaggi M / 2015 / Hypoxia induces a prothrombotic state independently of the physical activity / PLoS One 10:e0141797
Bendz B / 2000 / Association between acute hypobaric hypoxia and activation of coagulation in human beings / Lancet 356:1657~1658
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