Effect of bariatric surgery on outcomes in the operative treatment of hip fractures.

e

Abstract:

INTRODUCTION:Few studies have evaluated the effect of prior bariatric surgery on outcomes following the operative treatment of hip fractures. The purpose of this study is to evaluate these metrics in a population of bariatric surgery patients compared to a control group who were operatively treated for hip fractures. MATERIALS AND METHODS:The California Office of Statewide Health Planning & Development (OSHPD) discharge database was accessed to identify patients who sustained a hip fracture between 2000-2014. CPT codes were utilized to identify patients who had a prior history of bariatric surgery within this time period. A control cohort of patients who had undergone previous appendectomy were queried similarly. The study evaluated complication rates and inpatient mortality at 30- and 90-days postoperatively as well as 30- and 90-day readmission rates. RESULTS:There were 1,327 bariatric and 2,127 control patients identified. Survival rates were significantly lower in bariatric patients compared to controls (87.2% vs. 91.8%, p = 0.048) at 5 years. After controlling for confounders, bariatric patients had higher 30- (OR 1.46, p = 0.005) and 90-day (OR 1.38, p = 0.011) readmission rates. There were no differences in all-cause complication and inpatient mortality rates between groups at 30 or 90 days. DISCUSSION:Bariatric surgery patients are at increased risk of readmission after hip fracture surgery. Further research is warranted to delineate potential risk factors and mitigate readmission in these patients. LEVEL OF EVIDENCE:III.

减肥手术对髋部骨折手术治疗结果的影响。

c

摘要:

引言: 很少有研究评价既往减肥手术对髋部骨折手术治疗后结果的影响。本研究的目的是在减肥手术患者人群中评价这些指标,并与髋部骨折手术治疗的对照组进行比较。 材料和方法: 访问加州健康规划与发展办公室 (OSHPD) 出院数据库,以确定在 2000-2014 之间发生髋部骨折的患者。利用 CPT 编码识别在此时间段内既往有减肥手术史的患者。同样询问了既往接受过阑尾切除术的患者的对照队列。该研究评估了术后 30 天和 90 天的并发症发生率和住院死亡率以及 30 天和 90 天的再入院率。 结果: 确定了 1,327 例减重患者和 2,127 例对照患者。5 年时,减肥患者的生存率显著低于对照组 (87.2% vs.91.8%,p = 0.048)。在控制混杂因素后,减肥患者的 30-(OR 1.46,p = 0.005) 和 90 天 (OR 1.38,p = 0.011) 再入院率较高。在 30 或 90 天,两组间全因并发症和住院死亡率无差异。 讨论: 减肥手术患者髋部骨折术后再入院的风险增加。需要进一步的研究来描述潜在的危险因素并减轻这些患者的再入院。 证据级别: III.

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INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED

研究方向:医学-急救医学
IF:2.586
IF值的bai意思是影响因子。是汤森路透(duThomson Reuters)出品的期刊引证报告zhi(Journal Citation Reports,JCR)中的一项数据。 影响因子dao目前的计算方法是:IF=C/(M+N)。以2017年IF的计算为例,M为该期刊2015年发表的文章数量,N为该期刊2016年发表的文章数量,C为该期刊2015和2016年两年发表的文章在2017年这一年被引用的
出版周期: ENGLAND
中科院分区:Q4 来稿接收率:约 % 审稿周期:平均4.5月
23.90%
YES
1969
0020-1383
出版地区: CiteScore:
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INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED 期刊简介

英文简介:

Injury is an established, internationally renowned academic journal focusing on the rapidly evolving fields of trauma and accident surgery. The journal encourages the exchange of information among all members of the accident and emergency trauma team. Topics covered by Injury include trauma systems and management; surgical procedures; epidemiological studies; surgery (of all tissues); resuscitation; biomechanics; rehabilitation; anaesthesia; radiology and wound management. Regular features include original research papers; review papers; case reports; book reviews; ideas and innovations detailing novel and effective solutions to surgical problems; calendar of courses and worldwide meetings. The journal publishes a series of special supplements documenting the work of AO/ASIF Research, Development and Clinical Studies.

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中文简介

《伤病》是一本公认的国际知名学术期刊,专注于快速发展的创伤和意外手术领域。该杂志鼓励在事故和紧急创伤小组的所有成员之间交换信息。损伤涉及的主题包括创伤系统和管理;外科手术;流行病学研究;外科手术(所有组织);复苏;生物力学;康复;麻醉;放射学和伤口管理。常规功能包括原始研究论文;回顾论文;病例报告;书评;详细介绍外科问题新颖有效解决方案的想法和创新;课程日历和全球会议。该杂志出版了一系列专门的补充资料,记录了AO/ASIF研究、开发和临床研究的工作。

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INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED期刊中科院评价数据

最新中科院JCR分区

大类(学科) 小类(学科) 学科排名
医学 CRITICAL CARE MEDICINE(危重症监护医学) 4区
EMERGENCY MEDICINE(急诊医学) 3区
ORTHOPEDICS(整形外科学) 3区
SURGERY(外科学) 3区
21/33
8/26
31/77
76/200

最新公布的期刊年发文量

年度总发文量 年度论文发表量 年度综述发表量
529 489 40

总被引频次: 14027

特征因子: 0.019180

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INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED期刊CiteScore评价数据

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=

引文计数(2018)

文献(2015-2017)

=

次引用

篇文献

文献总数(2014-2016):

被引比率: %

SJR:
SCLmago期刊等级衡量经过加权后的期刊受引用次数,引用次数的加权值由施引期刊的学科领域和声望(SJR)决定。
SNIP:
每篇文章中来源出版物的标准化影响将实际受引用情况对照期刊所属学科领域中预期的受引用情况进行衡量。
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