Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
Introduction: Surgical excisions of upper and lower extremity malignancies are increasing annually, due in part to the rising incidence of sarcomas. The purpose of this study is to compare readmissions, reoperation rate, and complications following surgical excision of soft/connective tissue vs bone malignancies of the upper and lower extremities.
Methods: The Nationwide Readmissions Database (NRD) was queried from 2016-2017 to conduct a retrospective analysis of 16,435 patients diagnosed with malignant neoplasms of the long bone (ULLB, = 1,433) and soft tissue (ULST, = 2,049) of the upper limb and malignant neoplasms of the long bone (LLLB, = 5,422) and soft tissue (LLST, = 7,531) of the lower limb. Patients who underwent surgical excision of their neoplasms were included. Binomial multivariate logistic regression was used to compare complications, nonelective readmission rates, and reoperation rates between the two groups at 30 and 90 days.
Results: Average age of the ULST group was 61.88, with 36% female. Average age of the ULLB group was 44.97, with 41.90% female. Average age of the LLST group was 60.96, with 46.90% female. Average age of the LLLB group was 43.09, with 42.60% female. The ULST group had lower odds of readmission within 30 days (=0.263), which became significant within 90 days of surgery (=0.045). The LLST group had significantly higher odds of infection, reoperation within 30 to 90 days of the index surgery compared to the LLLB group ( < 0.0001). The LLST group had significantly lower odds of readmission within 30 (=0.04) and 90 days (=0.015) of the index surgery.
Conclusion: Patients in the ULST group had significantly lower odds of 90-day readmission compared to the ULLB group. There were also significantly lower odds of 30- and 90-day readmission in the LLST group compared to the LLLB group. However, the LLST group had significantly higher odds of infection and reoperation within 30 and 90 days compared to the LLLB group.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10023224 | PMC |
| http://dx.doi.org/10.1155/2023/5455719 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Nature-inspired hierarchical building materials with low CO emission and superior performance.
Nat Commun
March 2025
State Key Laboratory of Engineering Materials for Major Infrastructure, School of Materials Science and Engineering, Southeast University, Nanjing, China.
Conventional cement-based materials are faced with significant challenges, including large carbon emissions, high density, and quasi-brittleness. Here, inspired by hierarchical porous structures existing in nature, we develop a low carbon, lightweight, strong and tough cement-based material (LLST), which is obtained by a rapid gelation of hydrogel as skeleton and subsequent deposition of cement hydrates as a skin. As a result, the LLST exhibits hierarchical structure consisting of sponge-like micropores (1 ~ 50 μm) and nanopores (5 ~ 100 nm), without detrimental macropores that compromise light weight, strength, and toughness.
View Article and Find Full Text PDFCoronary CT Angiography-based Morphologic Index for Predicting Hemodynamically Significant Coronary Stenosis.
Radiol Cardiothorac Imaging
December 2023
From the National Heart Research Institute Singapore, National Heart Centre Singapore, 5 Hospital Dr, 169609 Singapore (C.W., S.L., R.S.T., J.M.F., C.Y.C., L.B., Y.J.F.K., A.S.L.W., S.J.T.C., S.Y.T., S.T.L., L.Z.); The Second Affiliated Hospital of Nanchang University, Nanchang, China (C.W., Q.W.);
Purpose To develop a new coronary CT angiography (CCTA)-based index, α×LL/MLD, that considers lesion entrance angle (α) in addition to lesion length (LL) and minimal lumen diameter (MLD) and to evaluate its efficacy in predicting hemodynamically significant coronary stenosis compared with invasive coronary angiography (ICA)-derived fractional flow reserve (FFR). Materials and Methods This prospective study enrolled participants (September 2016-March 2020) from two centers who underwent CCTA followed by ICA (ClinicalTrials.gov identifier: NCT03054324).
View Article and Find Full Text PDFPostoperative Complication and Reoperation Rates Following Resection of Soft Tissue vs. Bone Malignancies Based on Anatomic Location in the Inpatient Setting.
Sarcoma
March 2023
Department of Orthopaedic Surgery, Keck School of Medicine of USC, Los Angeles, California, USA.
Introduction: Surgical excisions of upper and lower extremity malignancies are increasing annually, due in part to the rising incidence of sarcomas. The purpose of this study is to compare readmissions, reoperation rate, and complications following surgical excision of soft/connective tissue vs bone malignancies of the upper and lower extremities.
Methods: The Nationwide Readmissions Database (NRD) was queried from 2016-2017 to conduct a retrospective analysis of 16,435 patients diagnosed with malignant neoplasms of the long bone (ULLB, = 1,433) and soft tissue (ULST, = 2,049) of the upper limb and malignant neoplasms of the long bone (LLLB, = 5,422) and soft tissue (LLST, = 7,531) of the lower limb.
Blood flow restriction added to usual care exercise in patients with early weight bearing restrictions after cartilage or meniscus repair in the knee joint: a feasibility study.
J Exp Orthop
October 2022
Physical Medicine & Rehabilitation Research - Copenhagen (PMR-C), Department of Physical and Occupational Therapy, Amager and Hvidovre Hospital, Hvidovre, Denmark.
Purpose: Blood flow restriction - low load strength training (BFR-LLST) is theoretically superior to traditional heavy strength training when rehabilitating patients who cannot heavily load tissues following surgery. The main purpose of this study was to examine the feasibility of BFR-LLST added to usual care exercise early after cartilage or meniscus repair in the knee joint.
Methods: We included 42 patients with cartilage (n = 21) or meniscus repair (n = 21) of the knee joint.
Increased 30-day mortality in very old ICU patients with COVID-19 compared to patients with respiratory failure without COVID-19.
Intensive Care Med
April 2022
UPMC Univ Paris 06, INSERM, UMR_S 1136, Institut Pierre Louis d'Epidémiologie et de Santé Publique, Equipe: épidémiologie hospitalière qualité et organisation des soins, Medical Intensive Care, Sorbonne Universités, 184 rue du Faubourg Saint Antoine, 75012, Paris, France.
Purpose: The number of patients ≥ 80 years admitted into critical care is increasing. Coronavirus disease 2019 (COVID-19) added another challenge for clinical decisions for both admission and limitation of life-sustaining treatments (LLST). We aimed to compare the characteristics and mortality of very old critically ill patients with or without COVID-19 with a focus on LLST.
View Article and Find Full Text PDF