Predictors of the Need for Critical Care After Total Joint Arthroplasty: An Update of Our Institutional Risk Stratification Model
Based on our previously published risk stratification model, 295 (19%) of a consecutive series of 1594 TJA patients were triaged to the ICU. However, only 67 patients (22%) required intensive care interventions. We identified 5 independent multivariate predictors (P <0.001) including COPD, CAD, C...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Courtney, P. Maxwell [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2014transfer abstract |
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| Umfang: |
5 |
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| Übergeordnetes Werk: |
Enthalten in: Spatially varying crustal stress along the Zagros seismic belt inferred from earthquake focal mechanisms - Nouri, Ahad ELSEVIER, 2022, official journal of the American Association of Hip and Knee Surgeons, Orlando, Fla |
|---|---|
| Übergeordnetes Werk: |
volume:29 ; year:2014 ; number:7 ; pages:1350-1354 ; extent:5 |
| Links: |
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| DOI / URN: |
10.1016/j.arth.2014.02.028 |
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| 520 | |a Based on our previously published risk stratification model, 295 (19%) of a consecutive series of 1594 TJA patients were triaged to the ICU. However, only 67 patients (22%) required intensive care interventions. We identified 5 independent multivariate predictors (P <0.001) including COPD, CAD, CHF (1 point each), EBL>1000mL, and intraoperative vasopressors (2 points each) to form the Penn Arthroplasty Risk Score (PARS). Patients with a score of 0 through 7 had a probability of requiring critical care of 7.0%, 13.2%, 23.5%, 38.1%, 55.4%, 71.4%, 83.4%, and 91.1% respectively. Based on these results, our previous risk stratification protocol is overly sensitive and non-specific. Any risk stratification algorithm for ICU admission should include intraoperative risk factors in order to be fully predictive. | ||
| 520 | |a Based on our previously published risk stratification model, 295 (19%) of a consecutive series of 1594 TJA patients were triaged to the ICU. However, only 67 patients (22%) required intensive care interventions. We identified 5 independent multivariate predictors (P <0.001) including COPD, CAD, CHF (1 point each), EBL>1000mL, and intraoperative vasopressors (2 points each) to form the Penn Arthroplasty Risk Score (PARS). Patients with a score of 0 through 7 had a probability of requiring critical care of 7.0%, 13.2%, 23.5%, 38.1%, 55.4%, 71.4%, 83.4%, and 91.1% respectively. Based on these results, our previous risk stratification protocol is overly sensitive and non-specific. Any risk stratification algorithm for ICU admission should include intraoperative risk factors in order to be fully predictive. | ||
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10.1016/j.arth.2014.02.028 doi GBVA2014013000030.pica (DE-627)ELV022824960 (ELSEVIER)S0883-5403(14)00142-9 DE-627 ger DE-627 rakwb eng 610 610 DE-600 550 VZ 38.36 bkl 38.58 bkl Courtney, P. Maxwell verfasserin aut Predictors of the Need for Critical Care After Total Joint Arthroplasty: An Update of Our Institutional Risk Stratification Model 2014transfer abstract 5 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Based on our previously published risk stratification model, 295 (19%) of a consecutive series of 1594 TJA patients were triaged to the ICU. However, only 67 patients (22%) required intensive care interventions. We identified 5 independent multivariate predictors (P <0.001) including COPD, CAD, CHF (1 point each), EBL>1000mL, and intraoperative vasopressors (2 points each) to form the Penn Arthroplasty Risk Score (PARS). Patients with a score of 0 through 7 had a probability of requiring critical care of 7.0%, 13.2%, 23.5%, 38.1%, 55.4%, 71.4%, 83.4%, and 91.1% respectively. Based on these results, our previous risk stratification protocol is overly sensitive and non-specific. Any risk stratification algorithm for ICU admission should include intraoperative risk factors in order to be fully predictive. Based on our previously published risk stratification model, 295 (19%) of a consecutive series of 1594 TJA patients were triaged to the ICU. However, only 67 patients (22%) required intensive care interventions. We identified 5 independent multivariate predictors (P <0.001) including COPD, CAD, CHF (1 point each), EBL>1000mL, and intraoperative vasopressors (2 points each) to form the Penn Arthroplasty Risk Score (PARS). Patients with a score of 0 through 7 had a probability of requiring critical care of 7.0%, 13.2%, 23.5%, 38.1%, 55.4%, 71.4%, 83.4%, and 91.1% respectively. Based on these results, our previous risk stratification protocol is overly sensitive and non-specific. Any risk stratification algorithm for ICU admission should include intraoperative risk factors in order to be fully predictive. Whitaker, Colin M. oth Gutsche, Jacob T. oth Hume, Eric L. oth Lee, Gwo-Chin oth Enthalten in Churchill Livingstone Nouri, Ahad ELSEVIER Spatially varying crustal stress along the Zagros seismic belt inferred from earthquake focal mechanisms 2022 official journal of the American Association of Hip and Knee Surgeons Orlando, Fla (DE-627)ELV009019677 volume:29 year:2014 number:7 pages:1350-1354 extent:5 https://doi.org/10.1016/j.arth.2014.02.028 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OPC-GGO SSG-OPC-GEO 38.36 Tektonik VZ 38.58 Geomechanik VZ AR 29 2014 7 1350-1354 5 045F 610 |
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10.1016/j.arth.2014.02.028 doi GBVA2014013000030.pica (DE-627)ELV022824960 (ELSEVIER)S0883-5403(14)00142-9 DE-627 ger DE-627 rakwb eng 610 610 DE-600 550 VZ 38.36 bkl 38.58 bkl Courtney, P. Maxwell verfasserin aut Predictors of the Need for Critical Care After Total Joint Arthroplasty: An Update of Our Institutional Risk Stratification Model 2014transfer abstract 5 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Based on our previously published risk stratification model, 295 (19%) of a consecutive series of 1594 TJA patients were triaged to the ICU. However, only 67 patients (22%) required intensive care interventions. We identified 5 independent multivariate predictors (P <0.001) including COPD, CAD, CHF (1 point each), EBL>1000mL, and intraoperative vasopressors (2 points each) to form the Penn Arthroplasty Risk Score (PARS). Patients with a score of 0 through 7 had a probability of requiring critical care of 7.0%, 13.2%, 23.5%, 38.1%, 55.4%, 71.4%, 83.4%, and 91.1% respectively. Based on these results, our previous risk stratification protocol is overly sensitive and non-specific. Any risk stratification algorithm for ICU admission should include intraoperative risk factors in order to be fully predictive. Based on our previously published risk stratification model, 295 (19%) of a consecutive series of 1594 TJA patients were triaged to the ICU. However, only 67 patients (22%) required intensive care interventions. We identified 5 independent multivariate predictors (P <0.001) including COPD, CAD, CHF (1 point each), EBL>1000mL, and intraoperative vasopressors (2 points each) to form the Penn Arthroplasty Risk Score (PARS). Patients with a score of 0 through 7 had a probability of requiring critical care of 7.0%, 13.2%, 23.5%, 38.1%, 55.4%, 71.4%, 83.4%, and 91.1% respectively. Based on these results, our previous risk stratification protocol is overly sensitive and non-specific. Any risk stratification algorithm for ICU admission should include intraoperative risk factors in order to be fully predictive. Whitaker, Colin M. oth Gutsche, Jacob T. oth Hume, Eric L. oth Lee, Gwo-Chin oth Enthalten in Churchill Livingstone Nouri, Ahad ELSEVIER Spatially varying crustal stress along the Zagros seismic belt inferred from earthquake focal mechanisms 2022 official journal of the American Association of Hip and Knee Surgeons Orlando, Fla (DE-627)ELV009019677 volume:29 year:2014 number:7 pages:1350-1354 extent:5 https://doi.org/10.1016/j.arth.2014.02.028 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OPC-GGO SSG-OPC-GEO 38.36 Tektonik VZ 38.58 Geomechanik VZ AR 29 2014 7 1350-1354 5 045F 610 |
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10.1016/j.arth.2014.02.028 doi GBVA2014013000030.pica (DE-627)ELV022824960 (ELSEVIER)S0883-5403(14)00142-9 DE-627 ger DE-627 rakwb eng 610 610 DE-600 550 VZ 38.36 bkl 38.58 bkl Courtney, P. Maxwell verfasserin aut Predictors of the Need for Critical Care After Total Joint Arthroplasty: An Update of Our Institutional Risk Stratification Model 2014transfer abstract 5 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Based on our previously published risk stratification model, 295 (19%) of a consecutive series of 1594 TJA patients were triaged to the ICU. However, only 67 patients (22%) required intensive care interventions. We identified 5 independent multivariate predictors (P <0.001) including COPD, CAD, CHF (1 point each), EBL>1000mL, and intraoperative vasopressors (2 points each) to form the Penn Arthroplasty Risk Score (PARS). Patients with a score of 0 through 7 had a probability of requiring critical care of 7.0%, 13.2%, 23.5%, 38.1%, 55.4%, 71.4%, 83.4%, and 91.1% respectively. Based on these results, our previous risk stratification protocol is overly sensitive and non-specific. Any risk stratification algorithm for ICU admission should include intraoperative risk factors in order to be fully predictive. Based on our previously published risk stratification model, 295 (19%) of a consecutive series of 1594 TJA patients were triaged to the ICU. However, only 67 patients (22%) required intensive care interventions. We identified 5 independent multivariate predictors (P <0.001) including COPD, CAD, CHF (1 point each), EBL>1000mL, and intraoperative vasopressors (2 points each) to form the Penn Arthroplasty Risk Score (PARS). Patients with a score of 0 through 7 had a probability of requiring critical care of 7.0%, 13.2%, 23.5%, 38.1%, 55.4%, 71.4%, 83.4%, and 91.1% respectively. Based on these results, our previous risk stratification protocol is overly sensitive and non-specific. Any risk stratification algorithm for ICU admission should include intraoperative risk factors in order to be fully predictive. Whitaker, Colin M. oth Gutsche, Jacob T. oth Hume, Eric L. oth Lee, Gwo-Chin oth Enthalten in Churchill Livingstone Nouri, Ahad ELSEVIER Spatially varying crustal stress along the Zagros seismic belt inferred from earthquake focal mechanisms 2022 official journal of the American Association of Hip and Knee Surgeons Orlando, Fla (DE-627)ELV009019677 volume:29 year:2014 number:7 pages:1350-1354 extent:5 https://doi.org/10.1016/j.arth.2014.02.028 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OPC-GGO SSG-OPC-GEO 38.36 Tektonik VZ 38.58 Geomechanik VZ AR 29 2014 7 1350-1354 5 045F 610 |
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10.1016/j.arth.2014.02.028 doi GBVA2014013000030.pica (DE-627)ELV022824960 (ELSEVIER)S0883-5403(14)00142-9 DE-627 ger DE-627 rakwb eng 610 610 DE-600 550 VZ 38.36 bkl 38.58 bkl Courtney, P. Maxwell verfasserin aut Predictors of the Need for Critical Care After Total Joint Arthroplasty: An Update of Our Institutional Risk Stratification Model 2014transfer abstract 5 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Based on our previously published risk stratification model, 295 (19%) of a consecutive series of 1594 TJA patients were triaged to the ICU. However, only 67 patients (22%) required intensive care interventions. We identified 5 independent multivariate predictors (P <0.001) including COPD, CAD, CHF (1 point each), EBL>1000mL, and intraoperative vasopressors (2 points each) to form the Penn Arthroplasty Risk Score (PARS). Patients with a score of 0 through 7 had a probability of requiring critical care of 7.0%, 13.2%, 23.5%, 38.1%, 55.4%, 71.4%, 83.4%, and 91.1% respectively. Based on these results, our previous risk stratification protocol is overly sensitive and non-specific. Any risk stratification algorithm for ICU admission should include intraoperative risk factors in order to be fully predictive. Based on our previously published risk stratification model, 295 (19%) of a consecutive series of 1594 TJA patients were triaged to the ICU. However, only 67 patients (22%) required intensive care interventions. We identified 5 independent multivariate predictors (P <0.001) including COPD, CAD, CHF (1 point each), EBL>1000mL, and intraoperative vasopressors (2 points each) to form the Penn Arthroplasty Risk Score (PARS). Patients with a score of 0 through 7 had a probability of requiring critical care of 7.0%, 13.2%, 23.5%, 38.1%, 55.4%, 71.4%, 83.4%, and 91.1% respectively. Based on these results, our previous risk stratification protocol is overly sensitive and non-specific. Any risk stratification algorithm for ICU admission should include intraoperative risk factors in order to be fully predictive. Whitaker, Colin M. oth Gutsche, Jacob T. oth Hume, Eric L. oth Lee, Gwo-Chin oth Enthalten in Churchill Livingstone Nouri, Ahad ELSEVIER Spatially varying crustal stress along the Zagros seismic belt inferred from earthquake focal mechanisms 2022 official journal of the American Association of Hip and Knee Surgeons Orlando, Fla (DE-627)ELV009019677 volume:29 year:2014 number:7 pages:1350-1354 extent:5 https://doi.org/10.1016/j.arth.2014.02.028 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OPC-GGO SSG-OPC-GEO 38.36 Tektonik VZ 38.58 Geomechanik VZ AR 29 2014 7 1350-1354 5 045F 610 |
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10.1016/j.arth.2014.02.028 doi GBVA2014013000030.pica (DE-627)ELV022824960 (ELSEVIER)S0883-5403(14)00142-9 DE-627 ger DE-627 rakwb eng 610 610 DE-600 550 VZ 38.36 bkl 38.58 bkl Courtney, P. Maxwell verfasserin aut Predictors of the Need for Critical Care After Total Joint Arthroplasty: An Update of Our Institutional Risk Stratification Model 2014transfer abstract 5 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Based on our previously published risk stratification model, 295 (19%) of a consecutive series of 1594 TJA patients were triaged to the ICU. However, only 67 patients (22%) required intensive care interventions. We identified 5 independent multivariate predictors (P <0.001) including COPD, CAD, CHF (1 point each), EBL>1000mL, and intraoperative vasopressors (2 points each) to form the Penn Arthroplasty Risk Score (PARS). Patients with a score of 0 through 7 had a probability of requiring critical care of 7.0%, 13.2%, 23.5%, 38.1%, 55.4%, 71.4%, 83.4%, and 91.1% respectively. Based on these results, our previous risk stratification protocol is overly sensitive and non-specific. Any risk stratification algorithm for ICU admission should include intraoperative risk factors in order to be fully predictive. Based on our previously published risk stratification model, 295 (19%) of a consecutive series of 1594 TJA patients were triaged to the ICU. However, only 67 patients (22%) required intensive care interventions. We identified 5 independent multivariate predictors (P <0.001) including COPD, CAD, CHF (1 point each), EBL>1000mL, and intraoperative vasopressors (2 points each) to form the Penn Arthroplasty Risk Score (PARS). Patients with a score of 0 through 7 had a probability of requiring critical care of 7.0%, 13.2%, 23.5%, 38.1%, 55.4%, 71.4%, 83.4%, and 91.1% respectively. Based on these results, our previous risk stratification protocol is overly sensitive and non-specific. Any risk stratification algorithm for ICU admission should include intraoperative risk factors in order to be fully predictive. Whitaker, Colin M. oth Gutsche, Jacob T. oth Hume, Eric L. oth Lee, Gwo-Chin oth Enthalten in Churchill Livingstone Nouri, Ahad ELSEVIER Spatially varying crustal stress along the Zagros seismic belt inferred from earthquake focal mechanisms 2022 official journal of the American Association of Hip and Knee Surgeons Orlando, Fla (DE-627)ELV009019677 volume:29 year:2014 number:7 pages:1350-1354 extent:5 https://doi.org/10.1016/j.arth.2014.02.028 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OPC-GGO SSG-OPC-GEO 38.36 Tektonik VZ 38.58 Geomechanik VZ AR 29 2014 7 1350-1354 5 045F 610 |
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Spatially varying crustal stress along the Zagros seismic belt inferred from earthquake focal mechanisms |
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Courtney, P. Maxwell @@aut@@ Whitaker, Colin M. @@oth@@ Gutsche, Jacob T. @@oth@@ Hume, Eric L. @@oth@@ Lee, Gwo-Chin @@oth@@ |
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predictors of the need for critical care after total joint arthroplasty: an update of our institutional risk stratification model |
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Predictors of the Need for Critical Care After Total Joint Arthroplasty: An Update of Our Institutional Risk Stratification Model |
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Based on our previously published risk stratification model, 295 (19%) of a consecutive series of 1594 TJA patients were triaged to the ICU. However, only 67 patients (22%) required intensive care interventions. We identified 5 independent multivariate predictors (P <0.001) including COPD, CAD, CHF (1 point each), EBL>1000mL, and intraoperative vasopressors (2 points each) to form the Penn Arthroplasty Risk Score (PARS). Patients with a score of 0 through 7 had a probability of requiring critical care of 7.0%, 13.2%, 23.5%, 38.1%, 55.4%, 71.4%, 83.4%, and 91.1% respectively. Based on these results, our previous risk stratification protocol is overly sensitive and non-specific. Any risk stratification algorithm for ICU admission should include intraoperative risk factors in order to be fully predictive. |
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Based on our previously published risk stratification model, 295 (19%) of a consecutive series of 1594 TJA patients were triaged to the ICU. However, only 67 patients (22%) required intensive care interventions. We identified 5 independent multivariate predictors (P <0.001) including COPD, CAD, CHF (1 point each), EBL>1000mL, and intraoperative vasopressors (2 points each) to form the Penn Arthroplasty Risk Score (PARS). Patients with a score of 0 through 7 had a probability of requiring critical care of 7.0%, 13.2%, 23.5%, 38.1%, 55.4%, 71.4%, 83.4%, and 91.1% respectively. Based on these results, our previous risk stratification protocol is overly sensitive and non-specific. Any risk stratification algorithm for ICU admission should include intraoperative risk factors in order to be fully predictive. |
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Based on our previously published risk stratification model, 295 (19%) of a consecutive series of 1594 TJA patients were triaged to the ICU. However, only 67 patients (22%) required intensive care interventions. We identified 5 independent multivariate predictors (P <0.001) including COPD, CAD, CHF (1 point each), EBL>1000mL, and intraoperative vasopressors (2 points each) to form the Penn Arthroplasty Risk Score (PARS). Patients with a score of 0 through 7 had a probability of requiring critical care of 7.0%, 13.2%, 23.5%, 38.1%, 55.4%, 71.4%, 83.4%, and 91.1% respectively. Based on these results, our previous risk stratification protocol is overly sensitive and non-specific. Any risk stratification algorithm for ICU admission should include intraoperative risk factors in order to be fully predictive. |
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