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Block Building Task Identifies Distinct Groups of Left/Right-hand Choice Patterns After Unilateral Peripheral Nerve Injury
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Risk Factors for Preventable Emergency Department Use After Outpatient Hand Surgery.

Pragna N Shetty1, Gianna M Guarino1, Gongliang Zhang2

  • 1The Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, MD.

The Journal of Hand Surgery
|July 17, 2022
PubMed
Summary
This summary is machine-generated.

Patient-reported data before hand surgery can predict costly emergency department visits. Worse upper extremity and pain interference scores indicate higher risk, enabling targeted preventative care.

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Care accessemergency department useglobal periodhand surgerypatient-reported data

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Area of Science:

  • Orthopedic Surgery
  • Health Services Research
  • Patient Outcomes

Background:

  • Emergency department (ED) visits for postoperative issues increase costs and disrupt care.
  • Patient-reported data (PRD) can offer insights into healthcare resource utilization.
  • Identifying patients at risk for preventable ED visits is crucial for optimizing care.

Purpose of the Study:

  • To investigate the association between preoperative patient-reported data and preventable ED visits after outpatient hand surgery.
  • To determine if preoperative PRD can identify patients with a higher likelihood of preventable ED use.

Main Methods:

  • Adult patients undergoing outpatient hand surgery were included (N=2,819).
  • Preoperative questionnaires included Patient-Reported Outcomes Measurement Information System (PROMIS) upper extremity (UE) and pain interference (PI) scales.
  • ED visits within 90 days were identified via a regional health information exchange.

Main Results:

  • 3.8% of patients had preventable ED visits within 90 days.
  • Worse preoperative PROMIS UE scores (lower function) were linked to decreased odds of ED visits (OR=0.96).
  • Worse preoperative PROMIS PI scores (higher interference) were linked to increased odds of ED visits (OR=1.04).
  • Scores significantly worse than population norms increased preventable ED visit probability.

Conclusions:

  • Preoperative PROMIS UE and PI scores are associated with preventable ED visits after hand surgery.
  • Preoperative PRD can help identify high-risk patients for targeted preventative interventions.
  • Utilizing PRD may reduce unnecessary ED utilization and improve resource allocation.