Thirty-Day Acute Health Care Resource Utilization Following Outpatient Anterior Cruciate Ligament Surgery

Regional Anesthesia and Pain Medicine
Jiabin LiuStavros G Memtsoudis

Abstract

The need for hospital-based acute care following outpatient surgical procedures is expensive and measured as marker for quality. However, little information is available about events leading to emergency department visit or inpatient admission after ambulatory anterior cruciate ligament (ACL) surgery. We studied adult patients who underwent outpatient ACL surgery in New York State between 2009 and 2013 using the Healthcare Cost and Utilization Project database. Emergency department visits and inpatient admissions within 30 days of surgery were identified by cross-matching 2 additional independent Healthcare Cost and Utilization Project databases. The final cohort included 26,873 subjects. We identified 1208 (3.90%; 95% confidence interval [CI], 3.6%-4.1%) secondary health care encounters of interest. The majority of these encounters were emergency department visits (951). The most common reasons were musculoskeletal pain (349 [28.9%]), any infection (122 [10.1%]), drug abuse (98 [8.1%]), wound infection (87 [7.2%]), deep venous thrombosis (77 [6.4%]), and psychotic events (54 [4.5%]). Patients operated on in high-volume surgical centers were less likely to require acute care (odds ratio, 0.47; P < 0.001; 95% CI, 0.34-0.63), whe...Continue Reading

References

Oct 3, 2009·The Journal of Bone and Joint Surgery. American Volume·Stephen LymanRobert G Marx
Feb 11, 2014·Regional Anesthesia and Pain Medicine·Stavros G MemtsoudisVassilios Vougioukas
Feb 15, 2014·Spine·Andrew J PugelySergio Mendoza-Lattes
May 3, 2014·Surgery·Justin P FoxCary P Gross
May 13, 2014·Plastic and Reconstructive Surgery·Dallas G HansenJustin P Fox
Jan 27, 2015·The New England Journal of Medicine·Sylvia M Burwell
Jun 7, 2015·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Robert W WestermannBrian R Wolf
Jun 21, 2017·Anesthesia and Analgesia·Jiabin LiuNabil M Elkassabany
Jul 6, 2017·Anesthesia and Analgesia·Alexander B StoneMichael C Grant

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