Chronic obstructive pulmonary disease is an independent risk factor for postoperative complications following operative treatment of distal radius fracture

Quan, Theodore; Chen, Frank R.; Recarey, Melina; Mathur, Abhay; Pollard, Tom G.; Gu, Alex; Wei, Chapman; Howard, Peter; Pribaz, Jonathan R.

doi:10.1007/s00590-021-03067-0

Cited by 6 publications

(6 citation statements)

References 28 publications

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“…They found that the incidence of local and systemic complications was signi cantly higher in patients with abnormal pulmonary function than in those with normal pulmonary function (29.9% vs. 18.1% and 8.2% vs. 2.0%, respectively). Quan et al [22] reported a signi cantly higher risk of postoperative complications after distal radius surgery in patients with chronic obstructive pulmonary disease than in those without (OR = 2.160, P = 0.001), corroborating the results of this study. Our study found a signi cantly higher percentage of patients with abnormal pulmonary function in the combined complication group than in the uncomplicated group (20.0% vs. 5.5%).…”

Section: Discussionsupporting

confidence: 90%

Risk factor analysis and prediction modeling for the occurrence of perioperative complications in abdominal wall incisional hernia patients

Shi,

Feng,

et al. 2024

Preprint

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Aim: The occurrence of perioperative complications in patients with abdominal wall incisional hernia not only affects their postoperative recovery but also increases their financial burden and pain. Therefore, the influencing factors predicting the occurrence of perioperative complications in abdominal wall incisional hernia should be determined, so that clinicians can perform perioperative patient management and early interventions before surgery to reduce the occurrence of complications. Methods: This retrospective analysis included 212 patients with incisional hernia of the abdominal wall in Shaanxi Provincial People’s Hospital from January 2013 to December 2020. The least absolute shrinkage and selection operator regression model was applied to optimize factor selection, and multivariable logistic regression analysis was conducted to construct a predictive model. The performance and clinical utility of the nomogram were determined, and internal validation was conducted. Results: The prediction nomogram showed that abnormal preoperative pulmonary function, defect in the central region of the anterior abdominal wall, hernia size, and intraoperative bleeding were predictors of perioperative complications in abdominal wall incisional hernia. The model showed an area under the receiver operating characteristic curve of 0.771 (95% confidence interval: 0.687–0.767). Decision curve analysis demonstrated that the perioperative complications risk nomogram had a good net clinical benefit. Conclusions: We developed a nomogram to help clinicians identify abdominal wall incisional hernia patients who are at a greater risk of perioperative complications, which may aid in early intervention and reduce the incidence of perioperative complications in them.

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Section: Discussionsupporting

confidence: 90%

Risk factor analysis and prediction modeling for the occurrence of perioperative complications in abdominal wall incisional hernia patients

Shi,

Feng,

et al. 2024

Preprint

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“…In this study, the patient's underlying lung diseases mainly included chronic obstructive pulmonary disease, bronchiectasis, interstitial lung disease, and pneumoconiosis, etc. In the presence of underlying lung diseases, the patient's lung function, lung elasticity, coughing, and sputum excretion are weakened, and the patient's own tolerance to surgical trauma and poor defense against bacterial invasion lead to an increased risk of postoperative lung infection [13][14][15]. (2) Diabetes mellitus is a group of metabolic diseases characterized by hyperglycemia, which can have a damaging effect on the stability of the body's internal environment due to the low glucose metabolism rate of patients, the presence of impaired energy metabolism, and a high in ammatory and hyperglycemic state.…”

Section: Discussionmentioning

confidence: 99%

Analysis of risk factors for pulmonary infection after thoracoscopic pneumonectomy and the predictive value of laboratory-related indicators

Zhang

Tao

Guan

et al. 2023

Preprint

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Objective: To investigate the risk factors and the predictive value of laboratory-related indexes for complications of pulmonary infections after lung resection by video-assisted thoracoscopic surgery (VATS). Methods: The clinical data and laboratory test results of 200 patients who underwent VATS lung resection at the Affiliated Hospital of Southwestern Medical University from December 2021 to July 2022 were retrospectively analyzed. Univariate and multifactorial logistic regression were used to analyze whether their gender, age, (American Society of Anesthesiologists) ASA classification, duration of surgery, intraoperative bleeding, days of hospitalization, hypoproteinemia, diabetes mellitus, smoking index, and underlying lung disease were risk factors for postoperative pulmonary infection. The levels of preoperative and early postoperative nutritional parameters (serum albumin, prealbumin) and inflammatory cells (total leukocyte count, neutrophil count, neutrophil ratio) were measured and compared 24 h after surgery. ROC curve analysis of the predictive effect of inflammatory cells on postoperative pulmonary infection. Results: In 200 patients undergoing pulmonary VATS, 42 cases of postoperative pulmonary infection occurred, with an infection rate of 21%. Univariate analysis showed statistically significant differences in gender, age, presence of hypoproteinemia, length of hospital stay, smoking index, presence of underlying pulmonary disease, presence of diabetes mellitus, duration of surgery, intraoperative bleeding, and ASA classification between those with and without postoperative pulmonary VATS (p <0.05). Multifactorial logistic regression analysis showed that the presence of underlying lung disease (OR = 3.065), presence of diabetes (OR = 5.123), duration of surgery (≥120 min) (OR = 4.641), and length of hospital stay >7 days (OR = 7.428) were independent risk factors for pulmonary infection after pulmonary VATS (p<0.05). Preoperative pulmonary infected patients had lower albumin and prealbumin levels than those without pulmonary infection, and higher white blood cell count and neutrophil count than those without pulmonary infection. Pre-albumin was lower in those with postoperative 24 h pulmonary infection than in those without pulmonary infection, and leukocyte count and neutrophil count were higher than in those without pulmonary infection, and the difference was statistically significant (p<0.05). According to the results of the ROC curve, the area under the curve for leukocytes and neutrophils at 24 h postoperatively was 0.684 (95% CI: 0.595-0.773, P<0.001) and 0.675 (95% CI:0.587-0.764, P<0.001), respectively, and the area under the curve for combined inflammatory cells to predict lung infection was 0.702 (95%CI:0.615-0.790, P<0.001). Conclusion: Patients with combined underlying lung disease, diabetes mellitus, operative time >120 min, and length of hospital stay >7 days were independent risk factors for post-thoracoscopic complications of pulmonary infection, and low early nutritional indicators and abnormal laboratory infection indicators were associated with the development of postoperative pulmonary infection. The preoperative and 24 h postoperative levels of inflammatory cells had some predictive value for a lung infection.

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“…Moreover, it is worth highlighting that patients with Hauck I fractures exhibited significantly better quality of life during the last follow-up compared to those with Hauck II fractures (p < 0.05). Although all DRF patients experienced enhanced quality of life following ORIF, those with Hauck I fractures demonstrated a more substantial improvement, which can be attributed to their superior post-surgery recovery of wrist functions and mobility, leading to fewer disruptions in their daily lives [16,29,30].…”

Section: Discussionmentioning

confidence: 99%

Comparison of clinical efficacy of open reduction and internal fixation for different types of male distal radius fractures

2023

JOMH

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To compare the effects of open reduction and internal fixation (ORIF) on male patients with distal radius fracture (DRF) combined with ulnar styloid process fracture of different types (Hauck II and Hauck I). Male patients with DRF and associated ulnar styloid process fractures who were treated at our hospital between March 2021 and March 2022 were randomly assigned to a Hauck I type (Group A, n = 44 cases) and Hauck II type (Group B, n = 44 cases). Both groups of patients underwent ORIF procedures, with self-locking locking compression plates used during surgery, and their surgical conditions (including time and bleeding volume), Visual Analog Scale (VAS) scores, wrist joint functionality (assessed using the Mayo score and range of motion), and quality of life scores were compared. At the last follow-up, Group A exhibited significantly greater wrist joint range of motion and WHO-QOL-BREF (The World Health Organization quality of life) scores compared to Group B (p < 0.05). However, no statistically significant differences (p > 0.05) were observed when comparing surgical conditions (time, bleeding volume), duration of hospital stay, fracture healing rates, incidence of complications, VAS scores (1 day, 2 days, 3 days post-surgery) and Mayo scores at the last follow-up between Group B and Group A. Male patients suffering from distal radius fractures combined with ulnar styloid process fractures can benefit from ORIF. Specifically, Hauck I patients demonstrate superior wrist joint mobility and a higher quality of life compared to Hauck II patients. KeywordsOpen reduction and internal fixation surgery; Hauck Type II; Hauck Type I; Male; Distal radius fracture; Surgical situation; VAS score; Recovery of wrist joint function How to cite this article: Min Zhang, Bin Hu, Tao Ma. Comparison of clinical efficacy of open reduction and internal fixation for different types of male distal radius fractures.

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Chronic obstructive pulmonary disease is an independent risk factor for postoperative complications following operative treatment of distal radius fracture

Cited by 6 publications

References 28 publications

Risk factor analysis and prediction modeling for the occurrence of perioperative complications in abdominal wall incisional hernia patients

Risk factor analysis and prediction modeling for the occurrence of perioperative complications in abdominal wall incisional hernia patients

Analysis of risk factors for pulmonary infection after thoracoscopic pneumonectomy and the predictive value of laboratory-related indicators

Comparison of clinical efficacy of open reduction and internal fixation for different types of male distal radius fractures

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