Reasons for 90-day emergency department visits after primary knee arthroplasty.

IF 2.2 4区 医学 Q2 SURGERY
Canadian Journal of Surgery Pub Date : 2024-11-06 Print Date: 2024-11-01 DOI:10.1503/cjs.008824
Sarah Jennings, Obaid Al-Hubaishi, Jo-Anne Douglas, Evan Nemeth, Michael Dunbar
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引用次数: 0

Abstract

Background: Postoperative visits to the emergency department (ED) generate additional costs on health care systems and consume already limited resources. We sought to determine the rate and reasons why patients who underwent primary knee arthroplasty returned to the ED within 90 days of postoperative discharge, which could guide the development of preventative measures.

Methods: We identified patients who underwent primary knee arthroplasty at 2 hospitals in Nova Scotia, Canada, between April 2021 and March 2022 and who had an ED visit within 90 days of postoperative discharge. We reviewed data for timing and reason for ED visits.

Results: Of 687 patients who had primary knee arthroplasty surgeries, 145 (21.1%) patients visited the ED within 90 days of postoperative discharge. Most visits occurred in the early postoperative period, predominantly for surgical reasons (94.7% within 7 days) and shifting toward medical reasons over time. Pain was the most common surgical reason for ED visits (15.9%), followed by swelling (9.7%), and hematoma drainage (9.7%).

Conclusion: Understanding the reasons for postoperative ED visits after knee arthroplasty is important in developing strategies to reduce ED overcrowding and improve patient outcomes. Implementing targeted interventions, such as enhanced pain management and patient education, may help alleviate the burden on EDs, reduce costs, and improve overall health care delivery for patients undergoing knee arthroplasty.

初级膝关节置换术后 90 天急诊就诊原因。
背景:术后到急诊科(ED)就诊会给医疗系统带来额外费用,并消耗本已有限的资源。我们试图确定接受初级膝关节置换术的患者在术后出院 90 天内重返急诊科的比例和原因,从而为制定预防措施提供指导:我们确定了 2021 年 4 月至 2022 年 3 月期间在加拿大新斯科舍省两家医院接受初级膝关节置换术的患者,这些患者在术后出院 90 天内曾在急诊室就诊。我们审查了急诊就诊时间和原因的数据:在 687 名接受初级膝关节置换手术的患者中,有 145 人(21.1%)在术后出院 90 天内到急诊室就诊。大多数就诊发生在术后早期,主要是由于手术原因(94.7%在7天内),随着时间的推移逐渐转向医疗原因。疼痛是急诊就诊最常见的手术原因(15.9%),其次是肿胀(9.7%)和血肿引流(9.7%):结论:了解膝关节置换术后急诊就诊的原因对于制定减少急诊就诊拥挤和改善患者预后的策略非常重要。实施有针对性的干预措施(如加强疼痛管理和患者教育)可能有助于减轻急诊室的负担、降低成本并改善膝关节置换术患者的整体医疗服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.00
自引率
8.00%
发文量
120
审稿时长
6-12 weeks
期刊介绍: The mission of CJS is to contribute to the meaningful continuing medical education of Canadian surgical specialists, and to provide surgeons with an effective vehicle for the dissemination of observations in the areas of clinical and basic science research.
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