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Effect of the Deyo score on outcomes and costs in shoulder arthroplasty patients.

Publication ,  Journal Article
Humphries, W; Jain, N; Pietrobon, R; Socolowski, F; Cook, C; Higgins, L
Published in: J Orthop Surg (Hong Kong)
August 2008

PURPOSE: To evaluate the effect of preoperative comorbidity status (defined by the Deyo index) on hospital mortality, postoperative complications, length of hospital stay, and hospital costs for shoulder arthroplasty patients. METHODS: The overall mean hospital mortality and postoperative complication rates, and length of hospital stay and hospital costs stratified by the Deyo score were compared using the Pearson Chi squared test and the F-test, respectively. The effects of the Deyo score on hospital mortality and postoperative complications were estimated using multiple logistic regression. The length of hospital stay and hospital costs were estimated using multiple linear regression. The magnitude of the estimated effects of the Deyo score on the 4 outcomes were expressed as crude odds ratios (ORs) and adjusted ORs for age, race, gender, surgeon volume, and hospital volume. RESULTS: Higher Deyo scores tended to be associated with higher hospital mortality, length of hospital stay, postoperative complications, and hospital costs. Compared with the referent group (Deyo score=0), patients with the highest Deyo scores (5-36) exhibited adjusted ORs of 11.8 for hospital mortality (p=0.011) and 1.1 for developing postoperative complications (p=0.098), and had the highest length of hospital stay (mean, 4.1 days) and hospital costs (mean, US$18,549). CONCLUSION: The Deyo score was a predictor of outcomes and costs in the shoulder arthroplasty population. By identifying relevant factors, health care providers can better determine who should be referred for shoulder arthroplasty and what should be considered when assessing risks and benefits.

Duke Scholars

Published In

J Orthop Surg (Hong Kong)

DOI

ISSN

1022-5536

Publication Date

August 2008

Volume

16

Issue

2

Start / End Page

186 / 191

Location

England

Related Subject Headings

  • Shoulder Joint
  • Postoperative Complications
  • Outcome Assessment, Health Care
  • Orthopedics
  • Middle Aged
  • Male
  • Length of Stay
  • Humans
  • Hospital Mortality
  • Hospital Costs
 

Citation

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Humphries, W., Jain, N., Pietrobon, R., Socolowski, F., Cook, C., & Higgins, L. (2008). Effect of the Deyo score on outcomes and costs in shoulder arthroplasty patients. J Orthop Surg (Hong Kong), 16(2), 186–191. https://doi.org/10.1177/230949900801600212
Humphries, W., N. Jain, R. Pietrobon, F. Socolowski, C. Cook, and L. Higgins. “Effect of the Deyo score on outcomes and costs in shoulder arthroplasty patients.J Orthop Surg (Hong Kong) 16, no. 2 (August 2008): 186–91. https://doi.org/10.1177/230949900801600212.
Humphries W, Jain N, Pietrobon R, Socolowski F, Cook C, Higgins L. Effect of the Deyo score on outcomes and costs in shoulder arthroplasty patients. J Orthop Surg (Hong Kong). 2008 Aug;16(2):186–91.
Humphries, W., et al. “Effect of the Deyo score on outcomes and costs in shoulder arthroplasty patients.J Orthop Surg (Hong Kong), vol. 16, no. 2, Aug. 2008, pp. 186–91. Pubmed, doi:10.1177/230949900801600212.
Humphries W, Jain N, Pietrobon R, Socolowski F, Cook C, Higgins L. Effect of the Deyo score on outcomes and costs in shoulder arthroplasty patients. J Orthop Surg (Hong Kong). 2008 Aug;16(2):186–191.

Published In

J Orthop Surg (Hong Kong)

DOI

ISSN

1022-5536

Publication Date

August 2008

Volume

16

Issue

2

Start / End Page

186 / 191

Location

England

Related Subject Headings

  • Shoulder Joint
  • Postoperative Complications
  • Outcome Assessment, Health Care
  • Orthopedics
  • Middle Aged
  • Male
  • Length of Stay
  • Humans
  • Hospital Mortality
  • Hospital Costs