Patient-Based and Surgical Risk Factors for 30-Day Postoperative Complications and Mortality After Ankle Fracture Fixation

Journal of Orthopaedic Trauma
Philip J BelmontJustin D Orr

Abstract

The purpose was to calculate the incidence rates and determine risk factors for 30-day postoperative mortality and morbidity after ankle fracture open reduction and internal fixation (ORIF). The NSQIP database was queried to identify patients undergoing ankle fracture ORIF from 2006 to 2011, with extraction patient-based or surgical variables and a 30-day clinical course. Multivariable logistic regression analysis identified significant predictors on outcome measures. Mean age was 50.3 (±18.2) years while diabetes mellitus (12.8%) and body mass index ≥40 kg/m(2) (9.2%) were documented from a total of 3328 patients identified. The 30-day mortality rate was 0.30%, and complications occurred in 5.1%. Chronic obstructive pulmonary disease [odds ratio (OR): 4.23, 95% confidence interval (CI): 1.19-15.06] and a nonindependent functional status before surgery (OR: 2.25, 95% CI: 1.13-4.51) were the sole independent predictors of mortality and major local complications, respectively. Major local complications occurred in 2.2% of patients, and significant predictors were peripheral vascular disease (OR: 6.14; 95% CI: 1.95-19.35), open wound (OR: 5.04; 95% CI: 2.25-11.27), nonclean wound classification (OR: 3.02; 95% CI: 1.31-6.93), and s...Continue Reading

References

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Citations

Apr 18, 2016·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Ashley C DoddManish K Sethi
Jun 18, 2016·World Neurosurgery·Alexandra M G LarsenTimothy R Smith
Dec 12, 2012·Journal of the American College of Surgeons·Frederik HelgstrandThue Bisgaard
Nov 12, 2016·Foot & Ankle Specialist·Nicholas RensingJustin D Orr
Nov 23, 2016·Foot & Ankle Specialist·Andrew P MatsonSamuel B Adams
Dec 30, 2016·Foot & Ankle Specialist·Andrew P MatsonRobert D Zura
Mar 3, 2020·Foot & Ankle International·Alex BenedickHeather A Vallier
Jan 11, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Tegan SchmidtHeather A Vallier
Sep 14, 2018·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Andrew P MatsonSamuel B Adams
Aug 10, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Tegan SchmidtHeather A Vallier
Aug 10, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Joseph A GilRaymond Hsu
Apr 23, 2017·BMC Surgery·Hongzhi LvYingze Zhang
Aug 28, 2020·Zeitschrift für Orthopädie und Unfallchirurgie·Alexander KaltenbornAndré Gutcke
Nov 22, 2016·The Journal of Bone and Joint Surgery. American Volume·Charles QinAnish R Kadakia
Aug 20, 2017·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·F-L LiuC-C Liao
May 2, 2020·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Ryan C ScheerJaime A Uribe
Apr 6, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Brittany N BurtonRodney A Gabriel
May 6, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Jennifer W LiuGeorge T Liu
Sep 13, 2020·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Tanner N WombleArun Aneja

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