Predictors of Extended Length of Stay Following Open Reduction and Internal Fixation for Proximal Humerus Fractures

• DOI: 10.1016/j.jhsg.2023.11.013
• Publication Date: 2023-12-27T23:18:25Z
• Authors: Matthew Kim; Emma Smolev; Samer Al-Humadi; Ryan P. Tantone; Hee-Yon Park; Kenny Ling; David E. Komatsu; Edward D. Wang

PurposeAn extended length of stay following open reduction and internal fixation (ORIF) for proximal humerus fractures (PHFs) is associated with increased patient morbidity health care costs. The primary purpose this study was to identify risk factors an ORIF PHF.MethodsAll patients who underwent PHF between 2015 2021 were queried from the American College Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database. Patient demographics, comorbid conditions, postoperative complications within 30 days procedure collected. Extended (eLOS) defined by ≥ 3 operation discharge. Multivariate logistic regression employed predictors eLOS ORIF.ResultsCharacteristics significantly included age 75 years (p < .001), male gender 0.001), body mass index (BMI) 18.5 (P = Society Anesthesiologists (ASA) classification dependent functional status noninsulin-dependent diabetes .037), insulin-dependent chronic obstructive pulmonary disease congestive heart failure (CHF) hypertension dialysis .013), disseminated cancer steroid use .004), bleeding disorder .001). Independent (OR 2.69; P BMI 1.70; .016), ASA 2.70; 2.30; CHF 3.57; 7.62; 2.68; .001).ConclusionAge 75, 18.5, 3, dependence, CHF, cancer, independently eLOS.Clinical RelevanceAssessing specific prior can assist in managing perioperative risks decreasing expenses related eLOS.Level EvidencePrognosis III. An PHF. All ORIF. Characteristics Age eLOS.