Incidence of Acute Complications Following Surgery for Syndactyly and Polydactyly: An Analysis of the National Surgical Quality Improvement Program Database from 2012 to 2014

McQuillan, Thomas; Hawkins, Jessica; Ladd, Amy L.

doi:10.1016/j.jhsa.2017.05.011

Cited by 16 publications

(16 citation statements)

References 26 publications

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“…Timing was significantly earlier in inpatients compared with outpatients for myocardial infarction (day 1 [IQR: [1][2][3] vs. day 3 [IQR: [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15], p = 0.006) (►Table 3 and ►Fig. 3).…”

Section: Resultsmentioning

confidence: 99%

Timing of Complications following Hand Surgery

Goyal

Bohl

Wysocki

2022

Journal of Hand and Microsurgery

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Introduction Our purposes were to (1) characterize the timeline of eight postoperative complications following hand surgery, (2) assess complication timing for the procedures that account for the majority of adverse events, and (3) determine any differences in complication timing between outpatient and inpatient procedures. Materials and Methods Patients undergoing hand, wrist, and forearm procedures from 2005 to 2016 were identified in the National Surgical Quality Improvement Program database. Timing of eight adverse events was characterized. Cox proportional hazards modeling was used to compare adverse event timing between inpatient and outpatient procedures. Results A total of 59,040 patients were included. The median postoperative day of diagnosis for each adverse event was as follows: myocardial infarction 1, pulmonary embolism 2, acute kidney injury 3, pneumonia 8, deep vein thrombosis 9, sepsis 13, urinary tract infection 15, and surgical site infection 16. Amputations, fasciotomies, and distal radius open reduction internal fixation accounted for the majority of adverse events. Complication timing was significantly earlier in inpatients compared with outpatients for myocardial infarction. Conclusion This study characterizes postoperative adverse event timing following hand surgery. Surgeons should have the lowest threshold for testing for each complication during the time period of greatest risk. Level of Evidence This is a therapeutic, Level III study.

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Section: Resultsmentioning

confidence: 99%

Timing of Complications following Hand Surgery

Goyal

Bohl

Wysocki

2022

Journal of Hand and Microsurgery

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“…The treatment and management of syndactyly is still by surgical correction. Because of varying degrees of deformity and functional requirements by different patients, it must take into account effects on psychological, economic, and social aspects of the patients, and a higher incidence of complications was observed in patients undergoing complex syndactyly repair (McQuillan et al, 2017); one reported patient with SD4 had 18 surgical corrections (Wieczorek et al, 2010). Therefore, the best prevention for family members with syndactyly is popular science education of genetic diseases and genetic counseling from professionals.…”

Section: Treatment and Management Of Syndactylymentioning

confidence: 99%

Sub-Exome Target Sequencing in a Family With Syndactyly Type IV Due to a Novel Partial Duplication of the LMBR1 Gene: First Case Report in Fujian Province of China

Shi¹,

Huang

Jiang³

et al. 2020

Front. Genet.

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“…Simple and complex syndactyly are repaired with skin flaps and/or grafts while complex syndactyly also involves osteotomies. 1,7 Although hand surgeons from orthopedic and plastic surgery treat this patient population, differences in patient acquisition, types of syndactyly, and variations in repair have yet to be elucidated.…”

Section: Introductionmentioning

confidence: 99%

National Patterns in Surgical Management of Syndactyly: A Review of 956 Cases

Chouairi

Mercier

Persing

et al. 2019

Hand (New York, N,Y.)

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Purpose: Being one of the most common congenital hand malformations, syndactyly is repaired by orthopedic, plastic, and fellowship-trained general surgeons. Limited multi-institutional outcomes analyses regarding incidence, timing, and type of repair exist. Methods: All syndactyly cases performed over a 5-year period from 2012-2016 were isolated from the National Surgical Quality Improvement Program Pediatric database. Patient demographics, surgical factors, perioperative outcomes, and risk factors were analyzed using χ2, Fisher exact, and t-test analysis. Results: A total of 956 patients who underwent syndactyly repair were identified. Most cases were simple syndactyly with nearly even case distribution among plastic and orthopedic surgeons. Most patients were men and Caucasian. Mean age at the time of surgery was 2.6 years. Most cases were performed as outpatient surgery. Patients of plastic surgeons had significantly more airway abnormalities and shorter operative times. Patients with complex syndactyly had significantly more ventilator dependence, tracheostomy, and comorbidities when compared with those with simple syndactyly. Cases with complex syndactyly also had longer operative times and a higher rate of superficial surgical site infections. Conclusions: Syndactyly repair is a safe procedure with few major or minor reconstructive complications regardless of the surgical specialty or syndactyly type. Patients with complex syndactyly have significantly more preoperative comorbidities with comparable outcomes. orthopedic surgeons have significantly longer operative times than plastic surgeons, likely due to caring for increased number of patients with complex syndactyly.

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Incidence of Acute Complications Following Surgery for Syndactyly and Polydactyly: An Analysis of the National Surgical Quality Improvement Program Database from 2012 to 2014

Cited by 16 publications

References 26 publications

Timing of Complications following Hand Surgery

Timing of Complications following Hand Surgery

Sub-Exome Target Sequencing in a Family With Syndactyly Type IV Due to a Novel Partial Duplication of the LMBR1 Gene: First Case Report in Fujian Province of China

National Patterns in Surgical Management of Syndactyly: A Review of 956 Cases

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