Complication Rates Following Total Ankle Arthroplasty in Inpatient versus Outpatient Populations: A Systematic ReviewMeta-Analysis
| العنوان: | Complication Rates Following Total Ankle Arthroplasty in Inpatient versus Outpatient Populations: A Systematic ReviewMeta-Analysis |
|---|---|
| المؤلفون: | Rachel H. Albright, Ryan J. Rodela, N. Jake Summers, Panah Nabili, Chris E. Gentchos |
| المصدر: | The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons. 60(1) |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Adult, medicine.medical_specialty, Joint replacement, medicine.medical_treatment, 03 medical and health sciences, Arthroplasty, Replacement, Ankle, 0302 clinical medicine, Postoperative Complications, Outpatients, Medicine, Humans, Orthopedics and Sports Medicine, Retrospective Studies, 030222 orthopedics, Inpatients, business.industry, 030229 sport sciences, Evidence-based medicine, Random effects model, Confidence interval, Surgery, Relative risk, Meta-analysis, Emergency medicine, Orthopedic surgery, Ankle, business, Complication, Ankle Joint |
| الوصف: | Total ankle arthroplasty (TAA) is used as an alternative to ankle arthrodesis for adults with severe ankle arthritis. Numerous orthopedic centers have entered the healthcare market offering fast-tracked joint replacement protocols, meanwhile, TAA has been excluded from these joint centers, and is primarily performed in the inpatient setting. The purpose of this study is to examine short-term complications in the inpatient and outpatient settings following TAA using a systematic review and quantitative analysis. We considered all studies examining short-term complications following TAA performed in the inpatient versus outpatient setting occuring within 1 year of the index operation. We summarized data using a pooled relative risk and random effects model. A pooled sensitivity analysis was performed for studies with data on complication rates for inpatient or outpatient populations, which did not have a control group. The quality of included studies was assessed using the Cochrane risk of bias tool. Nine studies were included in the quantitative analysis, with 4 studies in the final meta-analysis. Subjects undergoing inpatient surgery experienced a 5-times higher risk of short-term complications compared to the outpatient group (risk ratio 5.27, 95% confidence interval 3.31, 8.42). Results did not change after sensitivity analysis (inpatient weighted mean complication rate: 9.62% vs outpatient weighted mean 5.02%, p value |
| تدمد: | 1542-2224 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1cb02a495e72b66afc58efb5aaa6b685Test https://pubmed.ncbi.nlm.nih.gov/33218868Test |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....1cb02a495e72b66afc58efb5aaa6b685 |
| قاعدة البيانات: | OpenAIRE |
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