Evidence map›Paper›PMID 34543235›Full record

ArticleJournal of the American Academy of Orthopaedic Surgeons. Global research & reviews2021

Unplanned Emergency and Urgent Care Visits After Outpatient Orthopaedic Surgery.

Benjamin R Williams, Lauren C Smith, Arthur J Only, Harsh R Parikh, Marc F Swiontkowski, Brian P Cunningham

Abstract read
In one paragraph

Article in Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Benjamin R WilliamsFrom the Department of Orthopaedic Surgery (Dr. Williams, Dr. Smith, Parikh, Dr. Swiontkowski), University of Minnesota, Minneapolis; the Department of Orthopaedic Surgery (Dr. Only, Dr. Cunningham), Methodist Hospital, St. Louis Park, MN; Department of Orthopaedic Surgery (Parikh), TRIA Orthopaedic Center, Bloomington, MN; and the Department of Orthopaedic Surgery (Dr. Only, Dr. Swiontkowski, Dr. Cunningham), Regions Hospital, St. Paul, MN.ORCID 0000-0001-6167-818
Lauren C Smith
Arthur J Only
Harsh R Parikh
Marc F Swiontkowski
Brian P CunninghamORCID 0000-0002-6653-2451

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study sought to determine (1) incident risk, (2) chief report, (3) risk factors, and (4) total cost of unplanned healthcare visits to an emergency and/or urgent care (ED/UC) facility within 30 days of an outpatient orthopaedic procedure.

methodsThis was a retrospective database review of 5,550 outpatient surgical encounters from a large metropolitan healthcare system between 2012 and 2016. Statistical analysis consisted of measuring the ED/UC incident risk, respective to the procedures and anatomical region. Patient-specific risk factors were evaluated through multigroup comparative statistics.

resultsOf the 5,550 study patients, 297 (5.4%) presented to an ED/UC within 30 days of their index procedure, with 23 (0.4%) needing to be readmitted. Native English speakers, patients older than 45 years, and nonsmokers had significant reduced relative risk of unplanned ED or UC visit within 30 days of index procedure (P < 0.01). In addition, hand tendon repair/graft had the greatest risk incidence for ED/UC visit (11.0%). Unplanned ED/UC reimbursements totaled $146,357.34, averaging $575.65 per visit. DISCUSSION: This study provides an evaluation of outpatient orthopaedic procedures and their relationship to ED/UC visits. Specifically, this study identifies patient-related and procedural-related attributes that associate with an increased risk for unplanned healthcare utilization.

Indexed as

Orthopedic ProceduresOutpatientsAmbulatory CareEmergency Service, HospitalHumansRetrospective Studies

Identifiers

PMID34543235
PMCPMC8454905

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.