The effects of American Society of Anesthesiologists physical status on length of stay and inpatient cost in the surgical treatment of isolated orthopaedic fractures

Journal of Orthopaedic Trauma
Harrison F KayManish K Sethi

Abstract

To identify the impact of the American Society of Anesthesiologists (ASA) physical status on postoperative length of stay (LOS) and to document the cost due to LOS after surgical management of the 8 most common lower extremity and 2 most common upper extremity isolated orthopaedic fractures. Retrospective chart review. All patients who presented and underwent one of the 10 selected isolated orthopaedic surgical procedures at a large tertiary care center between January 1, 2000, and December 31, 2010. Charts for patients undergoing the 10 selected isolated orthopaedic surgical fracture procedures more than 10 years were reviewed. Thirteen thousand seven hundred seventy-six distinct operations were identified. One thousand three hundred ninety-eight distinct operations were included in analysis after selection. This was an observational study. Patients who received operative management for isolated orthopaedic fractures were identified utilizing a CPT code search for analysis in a retrospective chart review. LOS and cost secondary to LOS. ASA physical status proved the strongest predictor of postoperative LOS for the 8 most common lower extremity and 2 most common upper extremity isolated orthopaedic procedures. ASA was also a si...Continue Reading

References

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Citations

Dec 15, 2015·Archives of Orthopaedic and Trauma Surgery·Alessandro ApratoAlessandro Massè
Mar 26, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·David C SingAlan L Zhang
Sep 5, 2014·Journal of Orthopaedic Trauma·William M RicciMichael J Gardner
May 6, 2015·International Journal of Surgery·Nicholas J HackettJohn Y S Kim
Feb 21, 2018·The Journal of Bone and Joint Surgery. American Volume·Mark A CairnsR Carter Clement
Feb 5, 2019·Obesity Surgery·Max MeneveauPeter T Hallowell
May 23, 2015·The Journal of Bone and Joint Surgery. American Volume·Michael G ZywielY Raja Rampersaud
Oct 30, 2019·Archives of Orthopaedic and Trauma Surgery·Willem-Jan MetsemakersUNKNOWN Fracture-Related Infection (FRI) group
Dec 18, 2020·Geriatric Orthopaedic Surgery & Rehabilitation·Kelsey WiseBrian P Cunningham
Feb 9, 2021·Geriatric Orthopaedic Surgery & Rehabilitation·Jaclyn KapilowMegan Sorich
Feb 9, 2021·Geriatric Orthopaedic Surgery & Rehabilitation·Sanjit R KondaKenneth A Egol
Apr 3, 2021·Geriatric Orthopaedic Surgery & Rehabilitation·Alireza K NazemiNicholas Divaris
May 22, 2021·The Journal of Bone and Joint Surgery. American Volume·Vera M StetzelbergerMoritz Tannast

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