UNASSIGNED: 1047 consecutive revision TJA patients were retrospectively reviewed. Complications, including SSI, VTE, reoperation, and readmission, were combined into one dependent variable. ADI rankings were extracted using residential zip codes and categorized into quartiles. Univariate and multivariate logistic regressions were performed to analyze the association of ADI as an independent factor for complication following revision TJA.
UNASSIGNED: Depression (p = 0.034) and high ASA score (p < 0.001) were associated with higher odds of a combined complication postoperatively on univariate logistic regression. ADI was not associated with the occurrence of any of the complications recorded following surgery (p = 0.092). ASA remained an independent risk factor for developing postoperative complications on multivariate analysis.
UNASSIGNED: An ASA score of 3 or higher was significantly associated with higher odds of developing postoperative complications. Our findings suggest that ADI alone may not be a sufficient tool for predicting postoperative outcomes following revision TJA, and other area-level indices should be further investigated as potential markers of social determinants of health.
■1047例连续修订的TJA患者进行回顾性分析。并发症,包括SSI,VTE,再操作,和重新接纳,被组合成一个因变量。ADI排名是使用住宅邮政编码提取的,并分为四分位数。采用单因素和多因素Logistic回归分析ADI作为修正TJA后并发症的独立因素。
■抑郁(p=0.034)和高ASA评分(p<0.001)与术后合并并发症的概率较高相关。ADI与手术后记录的任何并发症的发生无关(p=0.092)。根据多变量分析,ASA仍然是发生术后并发症的独立危险因素。
■ASA评分为3分或更高与发生术后并发症的几率显著相关。我们的研究结果表明,仅ADI可能不足以预测TJA修订后的术后结果。和其他地区一级的指数应进一步调查,作为健康的社会决定因素的潜在标志。