Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2026
Predictors of Unplanned Postoperative Visits in a Veterans Affairs Hand Surgery Practice.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Coady-Fariborzian Loretta, Perdomo Francisca, Anstead Christy
Аннотация
BACKGROUND: After elective soft tissue hand surgery, patients may make unplanned appointments when experiencing pain or anxiety. These appointments can contribute to late arrivals and delays in other clinics. Identifying predictive factors of unplanned postoperative visits may improve perioperative risk management or education and reduce unplanned appointments.
METHODS: Elective soft tissue hand surgeries performed from July 1, 2018, to June 30, 2022 (excluding 2020, the COVID-19 pandemic year) in Veterans Affairs North Florida/South Georgia Veterans Health System operating rooms by the plastic surgery service were identified in the electronic health record. Data collected included age, sex, current smoking status, and residential zip code, as well as diagnoses of diabetes, depression, anxiety, or posttraumatic stress disorder (PTSD). Postoperative clinic notes were examined for 3 months for each patient. A χ2 analysis with P < .05 was used to determine whether age > 60 years, sex, proximity to the Malcom Randall Veterans Affairs Medical Center (MRVAMC), clinic, diabetes, smoking, depression, anxiety, or PTSD were statistically significant independent risk factors for unplanned appointments.
RESULTS: Of 1009 hand surgeries, 81 (8.0%) patients returned for unplanned visits. Age (P = .82), proximity to MRVAMC (P = .34), diabetes (P = .60), current smoking (P = .55), anxiety (P = .33), and PTSD (P = .37) were not statistically significant predictors of unplanned visits. Depression (P = .04) and female sex (P = .03) were found to be independent risk factors for unplanned appointments. The most common indication for the appointment was pain.
CONCLUSIONS: Female sex and a depression diagnosis were statistically significant predictors for unplanned appointments in the early postoperative period after elective soft tissue hand surgery.
METHODS: Elective soft tissue hand surgeries performed from July 1, 2018, to June 30, 2022 (excluding 2020, the COVID-19 pandemic year) in Veterans Affairs North Florida/South Georgia Veterans Health System operating rooms by the plastic surgery service were identified in the electronic health record. Data collected included age, sex, current smoking status, and residential zip code, as well as diagnoses of diabetes, depression, anxiety, or posttraumatic stress disorder (PTSD). Postoperative clinic notes were examined for 3 months for each patient. A χ2 analysis with P < .05 was used to determine whether age > 60 years, sex, proximity to the Malcom Randall Veterans Affairs Medical Center (MRVAMC), clinic, diabetes, smoking, depression, anxiety, or PTSD were statistically significant independent risk factors for unplanned appointments.
RESULTS: Of 1009 hand surgeries, 81 (8.0%) patients returned for unplanned visits. Age (P = .82), proximity to MRVAMC (P = .34), diabetes (P = .60), current smoking (P = .55), anxiety (P = .33), and PTSD (P = .37) were not statistically significant predictors of unplanned visits. Depression (P = .04) and female sex (P = .03) were found to be independent risk factors for unplanned appointments. The most common indication for the appointment was pain.
CONCLUSIONS: Female sex and a depression diagnosis were statistically significant predictors for unplanned appointments in the early postoperative period after elective soft tissue hand surgery.