Postoperative Complications Following Ankle Arthrodesis in Patients With Hepatitis C: Matched Propensity Score Analysis.

Foot & ankle specialist Pub Date : 2024-04-01 Epub Date: 2021-10-28 DOI:10.1177/19386400211053943
Pramod N Kamalapathy, Sean Sequeira, Dennis Chen, Joshua Bell, Joseph S Park, Brian C Werner
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引用次数: 0

Abstract

Background: Hepatitis C is associated with increased adverse events following surgery. The goals of this study were therefore to evaluate postoperative outcomes in patients with hepatitis C following ankle arthrodesis.

Materials and methods: A review of Medicare patients was performed to identify patients who underwent ankle arthrodesis. Patients were then divided into those with a preoperative history of hepatitis C and those who did not and were matched using propensity scores. Outcomes of interest were analyzed using multivariate logistic regression.

Results: A diagnosis of hepatitis C was associated with a significantly increased risk of myocardial infarction, emergency department visits, and readmission within 90 days following surgery. In addition, hepatitis C is associated with an increased length of stay, cost of hospitalization, and total hospital charge.

Conclusions: A diagnosis of hepatitis C was associated with a significant increase in hospital resource utilization during the initial inpatient stay and the immediate post-discharge period.Level of Evidence: III.

丙型肝炎患者踝关节置换术后并发症:匹配倾向评分分析
背景:丙型肝炎与手术后不良事件的增加有关。因此,本研究旨在评估丙型肝炎患者踝关节置换术后的预后:对医疗保险患者进行审查,以确定接受踝关节置换术的患者。然后将患者分为术前有丙型肝炎病史的患者和没有丙型肝炎病史的患者,并使用倾向评分进行匹配。采用多变量逻辑回归对相关结果进行分析:结果:丙型肝炎诊断与心肌梗死、急诊就诊和术后 90 天内再次入院的风险显著增加有关。此外,丙型肝炎还与住院时间、住院费用和住院总费用的增加有关:结论:丙型肝炎的诊断与住院初期和出院后医院资源利用率的显著增加有关:证据等级:III。
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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