Effect of the Deyo score on outcomes and costs in shoulder arthroplasty patients

Journal of Orthopaedic Surgery
W HumphriesL Higgins

Abstract

To evaluate the effect of preoperative comorbidity status (defined by the Deyo index) on hospital mortality, postoperative complications, length of hospital stay, and hospital costs for shoulder arthroplasty patients. The overall mean hospital mortality and postoperative complication rates, and length of hospital stay and hospital costs stratified by the Deyo score were compared using the Pearson Chi squared test and the F-test, respectively. The effects of the Deyo score on hospital mortality and postoperative complications were estimated using multiple logistic regression. The length of hospital stay and hospital costs were estimated using multiple linear regression. The magnitude of the estimated effects of the Deyo score on the 4 outcomes were expressed as crude odds ratios (ORs) and adjusted ORs for age, race, gender, surgeon volume, and hospital volume. Higher Deyo scores tended to be associated with higher hospital mortality, length of hospital stay, postoperative complications, and hospital costs. Compared with the referent group (Deyo score=0), patients with the highest Deyo scores (5-36) exhibited adjusted ORs of 11.8 for hospital mortality (p=0.011) and 1.1 for developing postoperative complications (p=0.098), and ha...Continue Reading

References

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Citations

Sep 30, 2010·Clinical Orthopaedics and Related Research·Eric T RicchettiGerald R Williams
May 29, 2014·Clinical Orthopaedics and Related Research·Mariano E MenendezDavid Ring
Mar 3, 2010·The Journal of Orthopaedic and Sports Physical Therapy·Bryce W GauntUNKNOWN American Society of Shoulder and Elbow Therapists
Aug 8, 2015·The Journal of Bone and Joint Surgery. American Volume·Frederick A MatsenPaul D Sampson
Jan 7, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Daniel E DavisMatthew L Ramsey
Jul 18, 2014·The Journal of Bone and Joint Surgery. American Volume·Ioannis PappouMark A Frankle

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