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Complications Within 30 Days of Hand Surgery: An Analysis of 10,646 Patients

Overview of attention for article published in Journal of Hand Surgery - American Edition, July 2015
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Title
Complications Within 30 Days of Hand Surgery: An Analysis of 10,646 Patients
Published in
Journal of Hand Surgery - American Edition, July 2015
DOI 10.1016/j.jhsa.2015.06.103
Pubmed ID
Authors

Angelo B. Lipira, Ravi F. Sood, Philip D. Tatman, Jeffrey I. Davis, Shane D. Morrison, Jason H. Ko

Abstract

The American College of Surgeons Surgical Quality Improvement Program database collects detailed and validated data on demographics, comorbidities, and 30-day postoperative outcomes of patients undergoing operations in most subspecialties. This dataset has been previously used to quantify complications and identify risk factors in other surgical subspecialties. We sought to determine the incidence of postoperative complications following hand surgery and to identify factors associated with increased risk of complications in order to focus preventive strategies. National Surgical Quality Improvement Program data from 2006 to 2011 were queried using 302 hand-specific Current Procedural Technology codes. Descriptive statistics were calculated for the population, and potential risk factors and patient characteristics were analyzed for their association with complications in the 30-day postoperative period using both univariate and multivariate analyses. There were 208 hand-specific Current Procedural Technology codes represented in the data, and of these, 84 were associated with at least 1 complication. The overall incidence of complications within 30 days of hand surgery was 2.5% (95% confidence interval, 2.2%-2.8%). In univariate analysis, older age, diabetes, chronic obstructive pulmonary disease, congestive heart failure, atherosclerosis, steroids, bleeding disorder, increasing American Society of Anesthesiologists class, increasing wound class, emergency procedure, longer operative time, and preoperative transfusion were associated with significantly higher risk of complications, and local anesthesia and outpatient surgery were associated with lower risk. In the multivariate model, male sex, increasing American Society of Anesthesiologists class, wound class 4, and preoperative transfusion were associated with significantly higher risk, and outpatient surgery was associated with significantly lower risk. The most common complication was surgical-site infection (1.2%). The incidence of complications was low, with overall health status being more important than specific comorbidities in predicting complication risk. This information may be valuable in counseling patients before surgery and in identifying patients at higher risk for complications following hand surgery. Therapeutic III.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 78 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Spain 1 1%
Unknown 77 99%

Demographic breakdown

Readers by professional status Count As %
Researcher 12 15%
Other 10 13%
Student > Doctoral Student 10 13%
Student > Postgraduate 6 8%
Student > Ph. D. Student 4 5%
Other 14 18%
Unknown 22 28%
Readers by discipline Count As %
Medicine and Dentistry 39 50%
Nursing and Health Professions 4 5%
Psychology 2 3%
Mathematics 1 1%
Biochemistry, Genetics and Molecular Biology 1 1%
Other 4 5%
Unknown 27 35%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 19 September 2017.
All research outputs
#20,655,488
of 25,371,288 outputs
Outputs from Journal of Hand Surgery - American Edition
#3,257
of 3,903 outputs
Outputs of similar age
#201,203
of 274,984 outputs
Outputs of similar age from Journal of Hand Surgery - American Edition
#45
of 54 outputs
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So far Altmetric has tracked 3,903 research outputs from this source. They receive a mean Attention Score of 3.4. This one is in the 2nd percentile – i.e., 2% of its peers scored the same or lower than it.
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We're also able to compare this research output to 54 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.