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Chronic obstructive pulmonary disease is an independent risk factor for postoperative complications following operative treatment of distal radius fracture

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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Purpose

This study aimed to investigate the relationship between chronic obstructive pulmonary disease (COPD) and postoperative complications for patients receiving distal radius fracture (DRF) open reduction internal fixation (ORIF).

Methods

From 2007 to 2018, patients undergoing operative treatment for distal radius fracture were identified in the National Surgical Quality Improvement Program database. Patients were separated into 2 cohorts: non-COPD and COPD patients. In this analysis, thirty-day postoperative complications evaluated included wound, cardiac, pulmonary, renal, thromboembolic, sepsis, mortality, urinary tract infections, postoperative transfusion, extended length of stay, reoperation, and readmission. Bivariate and multivariate analyses were performed.

Results

Of 12,424 total patients who underwent operative treatment for distal radius fracture, 11,957 patients (96.2%) did not have a diagnosis of COPD and 467 (3.8%) had COPD. Following adjustment, compared to patients who did not have COPD, those with COPD had an increased risk of any postoperative complications (OR 2.160; p = 0.010), postoperative transfusion requirement (OR 17.437; p = 0.001), extended length of hospital stay greater than 3 days (OR 1.564; p = 0.038), and readmission (OR 2.515; p < 0.001).

Conclusion

COPD is an independent risk factor for any postoperative complication including transfusions, extended length of stay, and readmission for patients receiving DRF ORIF. Pulmonary evaluation would be a critical step in preoperative management and counseling of these patients before DRF ORIF.

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Funding

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Authors and Affiliations

  1. Department of Orthopedic Surgery, George Washington Hospital, 2300 M St, 20037, Washington DC, US

    Theodore Quan, Melina Recarey, Abhay Mathur, Tom Pollard, Alex Gu, Chapman Wei, Peter Howard & Jonathan Pribaz

  2. Weill Cornell Medical College, New York, NY, US

    Frank R. Chen

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  1. Theodore Quan
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Correspondence to Theodore Quan.

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Institutional review board approval was not required for this study as all data is de-identified and public. No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.

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Quan, T., Chen, F.R., Recarey, M. et al. Chronic obstructive pulmonary disease is an independent risk factor for postoperative complications following operative treatment of distal radius fracture. Eur J Orthop Surg Traumatol 32, 945–951 (2022). https://doi.org/10.1007/s00590-021-03067-0

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  • DOI: https://doi.org/10.1007/s00590-021-03067-0

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