Risk Factors for 30-Day Postoperative Complications and Mortality after Below-Knee Amputation: A Study of 2,911 Patients from the National Surgical Quality Improvement Program

Risk Factors for In-hospital Mortality and Reamputation Following Lower Limb Amputation

“…2,[5][6][7][8]11,13,[23][24][25] We also observed a high mortality rate of 10.8% in the present study. LLA is often performed as a life-saving measure for a critically ischemic or infected limb in patients with DM or PVD.…”

“…[1][2][3][4] Previous studies have also reported high postoperative mortality rates ranging from 4.2% to 13.5% among patients undergoing LLA. 2,3,[5][6][7][8][9][10][11][12] Reported risk factors for death after LLA include age; male sex; the site of amputation; the requirement of dialysis; and a diagnosis of PVD, DM, coronary artery disease, myocardial infarction, or renal insufficiency. 2,3,[5][6][7][8][9][10][11]13) However, most previous studies of LLA were limited because of the selected study populations and small sample sizes.…”

Use of the National Surgical Quality Improvement Program in Orthopaedic Surgery

“…Outcomes were grouped by severity into minor and major complications and were selected on the basis of previously published studies using the ACS NSQIP database [2,12,15,16,21,22]. The major complications included deep wound infection, wound dehiscence, cardiopulmonary complication, thromboembolic disease, pulmonary embolism, deep venous thrombosis, cerebrovascular accident, postoperative neurologic deficit or sepsis, return to the operating room, and death.…”

“…Despite the potential applications of the current ACS NSQIP database, research has shown that surgeons remain skeptical on publically reporting ACS NSQIP data and applying it beyond the institutional level [13]. In fact, only a few orthopaedic surgical studies have already employed the NSQIP database [2,12,15,16,21,22]. These studies limited their analysis to either single orthopaedic procedures or reported rates of adverse events without considering the effect of patient characteristics and comorbidities.…”

Perioperative adverse events in distal femur fractures treated with intramedullary nail versus plate and screw fixation

“…4,5 Numerous studies have utilized NSQIP in the surgical literature, and it is accepted as a high quality, powerful data source. [6][7][8] To our knowledge, few studies have compared perioperative outcomes of these two fixation methods for DF fractures, and none have utilized a database, such as NSQIP, for these fractures. The purpose of this study was to compare rates of perioperative complications in patients with DF fractures treated with IMN versus PF and identify patient characteristics that increase the risk of adverse events in these fractures.…”