Academic Journal
MELD score predicts short-term outcomes after surgical management of proximal humerus fractures: a matched analysis
| العنوان: | MELD score predicts short-term outcomes after surgical management of proximal humerus fractures: a matched analysis |
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| المؤلفون: | Brendan Y. Shi, MD, Alexander Upfill-Brown, MD MSc, Alan Li, BS, Shannon Y. Wu, BS, Seth Ahlquist, MD, Christopher M. Hart, MD, Thomas J. Kremen, MD, Christopher Lee, MD, Alexandra I. Stavrakis, MD |
| المصدر: | OTA International, Vol 6, Iss 4 (2023) |
| بيانات النشر: | Wolters Kluwer, 2023. |
| سنة النشر: | 2023 |
| المجموعة: | LCC:Orthopedic surgery |
| مصطلحات موضوعية: | Orthopedic surgery, RD701-811 |
| الوصف: | Abstract. Objective:. We aimed to evaluate the difference in 30-day outcomes after surgical management of proximal humerus fractures (PHFs) between patients with and without chronic liver disease as defined by a MELD score greater than 10. Design:. This was a retrospective database review. Setting:. All centers participating in the American College of Surgeons National Surgical Quality Improvement Program database were included. Patients/Participants:. Patients with proximal humerus fractures who (1) underwent ORIF, HA, or SA and (2) had calculable MELD scores were included. Intervention:. Open reduction and internal fixation, hemiarthroplasty, or shoulder arthroplasty was used for treatment. Main outcome measurements:. Thirty-day complications, mortality, readmission, and reoperation rates were measured. Results:. Of the total 1732 PHF patients identified, 300 had a MELD score higher than 10. After propensity matching by significant covariates, MELD score higher than 10 was found to be significantly associated with higher rates of 30-day mortality, 30-day readmission, transfusion within 72 hours, and systemic complications. Among patients with a MELD score higher than 10, treatment with SA or HA instead of ORIF was associated with a higher rate of transfusion and longer operative time. There were no significant differences between treatment cohorts regarding mortality, reoperation, readmission, or complications. Conclusions:. A MELD score higher than 10 is associated with higher risk of surgical complications, transfusion, and death in patients undergoing surgery for proximal humerus fractures. Among patients with a MELD score higher than 10, ORIF was associated with a lower transfusion rate and shorter operative time than arthroplasty or hemiarthroplasty. Level of Evidence:. Prognostic Level III. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2574-2167 00000000 |
| Relation: | http://journals.lww.com/10.1097/OI9.0000000000000289; https://doaj.org/toc/2574-2167 |
| DOI: | 10.1097/OI9.0000000000000289 |
| URL الوصول: | https://doaj.org/article/ab250b06fe0e458ab721783139a32a9e |
| رقم الانضمام: | edsdoj.b250b06fe0e458ab721783139a32a9e |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 25742167 00000000 |
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| DOI: | 10.1097/OI9.0000000000000289 |