Determining the incidence and risk factors for short-term complications following distal biceps tendon repair
Background Distal biceps rupture is a relatively uncommon injury that can significantly affect quality of life. Early complications following biceps tendon repair are not well described in the literature. This study utilizes a national surgical database to determine the incidence of and predictors f...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Korean Shoulder and Elbow Society
2022-03-01
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| Series: | Clinics in Shoulder and Elbow |
| Subjects: | |
| Online Access: | http://www.cisejournal.org/upload/pdf/cise-2021-00472.pdf |
| _version_ | 1797334303726632960 |
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| author | Cody Goedderz Mark A. Plantz Erik B. Gerlach Nicholas C. Arpey Peter R. Swiatek Colin K. Cantrell Michael A. Terry Vehniah K. Tjong |
| author_facet | Cody Goedderz Mark A. Plantz Erik B. Gerlach Nicholas C. Arpey Peter R. Swiatek Colin K. Cantrell Michael A. Terry Vehniah K. Tjong |
| author_sort | Cody Goedderz |
| collection | DOAJ |
| description | Background Distal biceps rupture is a relatively uncommon injury that can significantly affect quality of life. Early complications following biceps tendon repair are not well described in the literature. This study utilizes a national surgical database to determine the incidence of and predictors for short-term complications following distal biceps tendon repair. Methods The American College of Surgeons’ National Surgical Quality Improvement Program database was used to identify patients undergoing distal biceps repair between January 1, 2011, and December 31, 2017. Patient demographic variables of sex, age, body mass index, American Society of Anesthesiologists class, functional status, and several comorbidities were collected for each patient, along with 30-day postoperative complications. Binary logistic regression was used to calculate risk ratios for these complications using patient predictor variables. Results Early postoperative surgical complications (0.5%)—which were mostly infections (0.4%)—and medical complications (0.3%) were rare. A readmission risk factor was diabetes (risk ratio [RR], 4.238; 95% confidence interval [CI], 1.180–15.218). Non-home discharge risk factors were smoking (RR, 3.006; 95% CI, 1.123–8.044) and ≥60 years of age (RR, 4.150; 95% CI, 1.611– 10.686). Maleness was protective for medical complications (RR, 0.024; 95% CI, 0.005–0.126). Surgical complication risk factors were obese class II (RR, 4.120; 95% CI, 1.123–15.120), chronic obstructive pulmonary disease (COPD; RR, 21.981; 95% CI, 3.719–129.924), and inpatient surgery (RR, 8.606; 95% CI, 2.266–32.689). Conclusions Complication rates after distal biceps repair are low. Various patient demographics, medical comorbidities, and surgical factors were all predictive of short-term complications. |
| first_indexed | 2024-03-08T08:17:53Z |
| format | Article |
| id | doaj.art-e5dca75c2cf64f1b91256738690c8a57 |
| institution | Directory Open Access Journal |
| issn | 2288-8721 |
| language | English |
| last_indexed | 2024-03-08T08:17:53Z |
| publishDate | 2022-03-01 |
| publisher | Korean Shoulder and Elbow Society |
| record_format | Article |
| series | Clinics in Shoulder and Elbow |
| spelling | doaj.art-e5dca75c2cf64f1b91256738690c8a572024-02-02T07:00:06ZengKorean Shoulder and Elbow SocietyClinics in Shoulder and Elbow2288-87212022-03-01251364110.5397/cise.2021.00472839Determining the incidence and risk factors for short-term complications following distal biceps tendon repairCody Goedderz0Mark A. Plantz1Erik B. Gerlach2Nicholas C. Arpey3Peter R. Swiatek4Colin K. Cantrell5Michael A. Terry6Vehniah K. Tjong7Department of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USADepartment of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USADepartment of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USADepartment of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USADepartment of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USADepartment of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USADepartment of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USADepartment of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USABackground Distal biceps rupture is a relatively uncommon injury that can significantly affect quality of life. Early complications following biceps tendon repair are not well described in the literature. This study utilizes a national surgical database to determine the incidence of and predictors for short-term complications following distal biceps tendon repair. Methods The American College of Surgeons’ National Surgical Quality Improvement Program database was used to identify patients undergoing distal biceps repair between January 1, 2011, and December 31, 2017. Patient demographic variables of sex, age, body mass index, American Society of Anesthesiologists class, functional status, and several comorbidities were collected for each patient, along with 30-day postoperative complications. Binary logistic regression was used to calculate risk ratios for these complications using patient predictor variables. Results Early postoperative surgical complications (0.5%)—which were mostly infections (0.4%)—and medical complications (0.3%) were rare. A readmission risk factor was diabetes (risk ratio [RR], 4.238; 95% confidence interval [CI], 1.180–15.218). Non-home discharge risk factors were smoking (RR, 3.006; 95% CI, 1.123–8.044) and ≥60 years of age (RR, 4.150; 95% CI, 1.611– 10.686). Maleness was protective for medical complications (RR, 0.024; 95% CI, 0.005–0.126). Surgical complication risk factors were obese class II (RR, 4.120; 95% CI, 1.123–15.120), chronic obstructive pulmonary disease (COPD; RR, 21.981; 95% CI, 3.719–129.924), and inpatient surgery (RR, 8.606; 95% CI, 2.266–32.689). Conclusions Complication rates after distal biceps repair are low. Various patient demographics, medical comorbidities, and surgical factors were all predictive of short-term complications.http://www.cisejournal.org/upload/pdf/cise-2021-00472.pdfpostoperative complicationsrisk factorsorthopedic proceduresdistal biceps tendon repairnsqip |
| spellingShingle | Cody Goedderz Mark A. Plantz Erik B. Gerlach Nicholas C. Arpey Peter R. Swiatek Colin K. Cantrell Michael A. Terry Vehniah K. Tjong Determining the incidence and risk factors for short-term complications following distal biceps tendon repair Clinics in Shoulder and Elbow postoperative complications risk factors orthopedic procedures distal biceps tendon repair nsqip |
| title | Determining the incidence and risk factors for short-term complications following distal biceps tendon repair |
| title_full | Determining the incidence and risk factors for short-term complications following distal biceps tendon repair |
| title_fullStr | Determining the incidence and risk factors for short-term complications following distal biceps tendon repair |
| title_full_unstemmed | Determining the incidence and risk factors for short-term complications following distal biceps tendon repair |
| title_short | Determining the incidence and risk factors for short-term complications following distal biceps tendon repair |
| title_sort | determining the incidence and risk factors for short term complications following distal biceps tendon repair |
| topic | postoperative complications risk factors orthopedic procedures distal biceps tendon repair nsqip |
| url | http://www.cisejournal.org/upload/pdf/cise-2021-00472.pdf |
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