Research Article
Impact of Resident Involvement on 30-Day Postoperative Outcomes in Orthopedic Shoulder Surgery
Table 3
Postoperative outcomes in 5,648 patients treated with shoulder surgery in 2010–2012, categorized by resident presence.
| Outcome | Resident present | OR | CI | value | No (3455 patients) | Yes (2193 patients) | Value | % | Value | % |
| Medical complications | Acute renal failure | 2 | 0.1 | 1 | <0.01 | 1.10 | 0.10–12.33 | 0.939 | Bleeding transfusion | 120 | 3.5 | 132 | 6.0 | 1.71 | 1.32–2.21 | <0.001 | Cardiac arrest | 5 | 0.1 | 0 | 0.0 | 0.00 | 0.00 | 0.986 | CVA/Stroke | 5 | 0.1 | 2 | 0.1 | 0.64 | 0.12–3.34 | 0.599 | DVT/thrombophlebitis | 17 | 0.5 | 9 | 0.4 | 0.77 | 0.34–1.75 | 0.534 | Myocardial infarction | 5 | 0.1 | 3 | 0.1 | 0.80 | 1.88–3.39 | 0.762 | Peripheral nerve injury | 4 | 0.1 | 6 | 0.3 | 2.44 | 0.68–8.70 | 0.169 | Pneumonia | 19 | 0.5 | 11 | 0.5 | 0.88 | 0.42–1.87 | 0.742 | Progressive renal insufficiency | 2 | 0.1 | 2 | 0.1 | 1.48 | 0.20–10.76 | 0.701 | Pulmonary embolism | 9 | 0.3 | 8 | 0.4 | 1.42 | 0.54–3.73 | 0.475 | Sepsis | 9 | 0.3 | 7 | 0.3 | 1.04 | 0.38–2.83 | 0.936 | Septic shock | 2 | 0.1 | 2 | 0.1 | 1.59 | 0.22–11.48 | 0.647 | Unplanned intubation | 9 | 0.3 | 2 | 0.1 | 0.36 | 0.08–1.68 | 0.194 | Urinary tract infection | 26 | 0.8 | 15 | 0.7 | 0.94 | 0.49–1.79 | 0.845 | Ventilator >48 hrs | 5 | 0.1 | 2 | 0.1 | 0.56 | 0.11–2.93 | 0.489 | Surgical complications | Deep SSI | 8 | 0.2 | 6 | 0.3 | 0.98 | 0.34–2.86 | 0.976 | Organ/space SSI | 11 | 0.3 | 5 | 0.2 | 0.68 | 0.23–1.97 | 0.478 | Superficial SSI | 10 | 0.3 | 9 | 0.4 | 1.37 | 0.55–3.41 | 0.493 | Wound dehiscence | 5 | 0.1 | 4 | 0.2 | 1.27 | 0.34–4.80 | 0.723 | Wound occurrences | 10 | 0.3 | 9 | 0.4 | 1.37 | 0.55–3.41 | 0.493 | Other complications | Any readmission | 28 | 1.4 | 30 | 2.1 | 1.44 | 0.85–2.44 | 0.172 | In hospital >30 days | 3 | 0.2 | 0 | 0 | 0.00 | 0.00 | 0.988 | Return to OR | 49 | 1.4 | 28 | 1.3 | 0.83 | 0.51–1.32 | 0.426 | Unplanned readmission | 26 | 1.3 | 26 | 1.8 | 1.32 | 0.76–2.30 | 0.324 | Unplanned reoperation | 10 | 0.5 | 8 | 0.6 | 1.07 | 0.42–2.73 | 0.895 |
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CVA = cerebrovascular attack, DVT = deep vein thrombosis, SSI = surgical site infection. Denotes significant difference between cohorts ( ). |