Tobert, Daniel, Menendez, Mariano, Ring, David C., Chen, Neal C.. (1397). The “July Effect” on Shoulder Arthroplasty: Are Complication Rates Higher at the Beginning of the Academic Year?. , 6(4), 277-281. doi: 10.22038/abjs.2017.24124.1631
Daniel Tobert; Mariano Menendez; David C. Ring; Neal C. Chen. "The “July Effect” on Shoulder Arthroplasty: Are Complication Rates Higher at the Beginning of the Academic Year?". , 6, 4, 1397, 277-281. doi: 10.22038/abjs.2017.24124.1631
Tobert, Daniel, Menendez, Mariano, Ring, David C., Chen, Neal C.. (1397). 'The “July Effect” on Shoulder Arthroplasty: Are Complication Rates Higher at the Beginning of the Academic Year?', , 6(4), pp. 277-281. doi: 10.22038/abjs.2017.24124.1631
Tobert, Daniel, Menendez, Mariano, Ring, David C., Chen, Neal C.. The “July Effect” on Shoulder Arthroplasty: Are Complication Rates Higher at the Beginning of the Academic Year?. , 1397; 6(4): 277-281. doi: 10.22038/abjs.2017.24124.1631

The “July Effect” on Shoulder Arthroplasty: Are Complication Rates Higher at the Beginning of the Academic Year?

The Archives of Bone and Joint Surgery
مقاله 5، دوره 6، شماره 4، مهر 2018، صفحه 277-281    اصل مقاله (515.18 K)
نوع مقاله: RESEARCH PAPER
شناسه دیجیتال (DOI): 10.22038/abjs.2017.24124.1631
نویسندگان
Daniel Tobert* 1؛ Mariano Menendez2؛ David C. Ring3؛ Neal C. Chen4
1Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston MA Harvard Combined Orthopaedic Residency Program, Boston MA, USA
2Department of Orthopaedic Surgery, Tufts Medical Center, Boston MA, USA
3Department of Surgery and Perioperative Care, Dell Medical School, Austin MA, USA
4Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston MA, USA
چکیده
Background: The ”July effect” is a colloquialism asserting an increased rate of errors at the start of the academic
year in teaching hospitals. This retrospective population-based study evaluated for the presence of the July effect in
performing shoulder arthroplasty.
Methods: Using the Nationwide Inpatient Sample for 2002 through 2011, a total of 178,590 patients undergoing
shoulder arthroplasty at academic medical centers were identified and separated into 2 groups: 1) patients admitted
during July and 2) patients admitted between August and June. Multivariable logistic regression was used to identify
associations with inpatient mortality and adverse events, blood transfusion, prolonged length of stay (>75th percentile)
and non-routine discharge.
Results: After adjusting for patient, procedure, and hospital characteristics in multivariable modeling, admission in
July was not associated with increased risk for inpatient mortality (OR 1.6) aggregate morbidity, blood transfusion,
prolonged length of stay, and non-routine discharge.
Conclusion: This nationwide database analysis shows that shoulder arthroplasty at academic medical centers is not
associated with increased perioperative morbidity and resource utilization during the month of July.
کلیدواژه‌ها
Complications؛ July effect؛ Nationwide inpatient sample؛ Resident education؛ Shoulder Arthroplasty؛ Teaching hospitals
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