4 risk factors for arthroscopic meniscectomy complications, readmissions

Orthopedic

A study published in the American Journal of Sports Medicine examined the risk factors for short-term adverse events and readmissions after arthroscopic meniscectomy.


The study examined patients who underwent arthroscopic meniscectomy between 2005 and 2012. The patient information was collected from the American College of Surgeons National Surgical Quality Improvement Program database. There were 17,774 patients examined in the study.

Among the participating patients, the average age was 53 years old and there were 3,420 — or 19.2 percent — of the patients who were older than 65. There were few complications, adverse events and readmissions. The breakdown for patients in this study was:

•    208 patients — 1.7 percent — had any adverse events
•    203 patients — 1.14 percent — had severe adverse events
•    102 patients — 0.97 percent — were readmitted to the hospital

There was no significant difference for adverse events or hospital readmission between the age groups. However, there were other risk factors the study authors found:

1. American Society of Anesthesiologists classification — those who were ASA three or greater were at greater risk of any adverse event, severe adverse events and readmissions.

2. Patients with diabetes were more likely to have any adverse event and severe adverse events than patients without diabetes.

3. Smokers had a higher rate of readmission than non-smokers.

4. Pulmonary disease increased the odds of any adverse event and severe adverse events.

As a result, the study authors concluded: "Meniscectomy is a safe procedure in older patients, as age over 65 years did not increase the odds of any of the adverse events studied."

 

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