The "July Effect" in Primary Total Hip and Knee Arthroplasty: Analysis of 21,434 Cases From the ACS-NSQIP Database

被引：93

作者：

Bohl, Daniel D. ^{[1
]}

Fu, Michael C. ^{[1
]}

Golinvaux, Nicholas S. ^{[1
]}

Basques, Bryce A. ^{[1
]}

Gruskay, Jordan A. ^{[1
]}

Grauer, Jonathan N. ^{[1
]}

机构：

[1] Yale Univ, Sch Med, Dept Orthopaed & Rehabil, New Haven, CT 06510 USA

来源：

JOURNAL OF ARTHROPLASTY | 2014年 / 29卷 / 07期

关键词：

July effect; resident education; seasonal variation; total hip arthroplasty; total knee; arthroplasty; serious adverse events; any adverse events; CHARLSON COMORBIDITY INDEX; SURGERY; OUTCOMES; IMPACT;

D O I：

10.1016/j.arth.2014.02.008

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The "July effect" is the hypothetical increase in morbidity thought to be associated with the training of new residents during the first portion of the academic year. We evaluated for the presence of the July effect in the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database among 21,434 patients who underwent primary total hip or knee arthroplasty. There was no association of an interaction term for academic quarter and resident involvement with "serious adverse events" (P = 0.656) or "any adverse events" (P = 0.578). As a result, this study could not demonstrate a July effect. Patients can be reassured that undergoing total joint arthroplasty during the first part of the academic year is without increased risk of adverse events related to the training of residents. (C) 2014 Elsevier Inc. All rights reserved.

引用

页码：1332 / 1338

页数：7

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