Medical Comorbidities

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Colleen M Ryan - One of the best experts on this subject based on the ideXlab platform.

Joshua S Everhart - One of the best experts on this subject based on the ideXlab platform.

  • Medical Comorbidities and perioperative allogeneic red blood cell transfusion are risk factors for surgical site infection after shoulder arthroplasty
    Journal of Shoulder and Elbow Surgery, 2017
    Co-Authors: Joshua S Everhart, Julie Y Bishop, Jonathan D Barlow
    Abstract:

    Background Multiple perioperative factors have been implicated in infection risk after shoulder arthroplasty. The purpose of this study was to determine surgical site infection (SSI) risk due to Medical Comorbidities or blood transfusion after primary or revision shoulder arthroplasty. Methods Comprehensive data on Medical Comorbidities, surgical indication, perioperative transfusion, and SSI were obtained for 707 patients who underwent primary or revision hemiarthroplasty or total shoulder arthroplasty in a single hospital system. Multivariate Poisson regression was used to determine the independent association between allogeneic red blood cell transfusion, Medical Comorbidities, and SSI after controlling for procedure. Results The SSI rate was 1.9% for primary hemiarthroplasties and 1.3% for primary total shoulder arthroplasties. Among patients without prior shoulder infection, revision arthroplasty or prior open reduction and internal fixation had higher SSI risk than primary arthroplasties (incidence risk ratio [IRR], 11.4; 95% confidence interval [CI], 3.84-34.0; P P  = .002), rheumatoid arthritis (IRR, 8.63; CI, 1.84-40.4; P  = .006), and long-term corticosteroid use (IRR, 37.4; CI, 5.79-242; P P  = .002). Conclusion Gender, rheumatoid arthritis, and long-term (>1 year) corticosteroid use affect SSI risk after shoulder arthroplasty. Revision surgery, particularly in the setting of prior infection, increased risk of future infection. Finally, allogeneic red blood cell transfusion increases SSI risk after shoulder arthroplasty in a dose-dependent manner.

  • Medical Comorbidities are independent preoperative risk factors for surgical infection after total joint arthroplasty
    Clinical Orthopaedics and Related Research, 2013
    Co-Authors: Joshua S Everhart, Eric Altneu, Jason H Calhoun
    Abstract:

    Background Surgical site infection (SSI) after total joint arthroplasty (TJA) is a major cause of morbidity. Multiple patient Comorbidities have been identified as SSI risk factors including obesity, tobacco use, diabetes, immunosuppression, malnutrition, and coagulopathy. However, the independent effect of multiple individual patient factors on risk of subsequent periprosthetic infection is unclear.

Paul Gerrard - One of the best experts on this subject based on the ideXlab platform.

Chloe Slocum - One of the best experts on this subject based on the ideXlab platform.

  • functional status predicts acute care readmissions from inpatient rehabilitation in the stroke population
    PLOS ONE, 2015
    Co-Authors: Chloe Slocum, Paul Gerrard, Randie M Blackschaffer, Richard Goldstein, Aneesh B Singhal, Margaret A Divita, Colleen M Ryan
    Abstract:

    Objective Acute care readmission risk is an increasingly recognized problem that has garnered significant attention, yet the reasons for acute care readmission in the inpatient rehabilitation population are complex and likely multifactorial. Information on both Medical Comorbidities and functional status is routinely collected for stroke patients participating in inpatient rehabilitation. We sought to determine whether functional status is a more robust predictor of acute care readmissions in the inpatient rehabilitation stroke population compared with Medical Comorbidities using a large, administrative data set.

Shirley L Shih - One of the best experts on this subject based on the ideXlab platform.