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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/52-regional-analgesia-arthroplasty-facilitator.docx
June 01, 2023 - Regional Analgesia for Total Hip Arthroplasty and Total Knee Arthroplasty: Facilitator Guide AHRQ Safety … Arthroplasty and Total Knee Arthroplasty
Hello, and thank you for joining me. … Today I'll be discussing regional analgesia for total knee and total hip replacement surgery, components … Hip and knee replacement surgeries require coverage of slightly different nerve distributions. … and knee arthroplasty.
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/ssi/ssiapd.html
April 01, 2018 - CABG = coronary artery bypass graft, HPRO = hip arthroplasty, KPRO = knee arthroplasty, HER = herniorrhaphy … Procedures include: coronary artery bypass graft (CABG), hip arthroplasty (HPRO), knee arthroplasty ( … As can be seen in the tables below, ICD-9 alone identified >95% of CABG, hip and knee arthroplasties. … Arthroplasties
Scripts containing ICD9 procedural and CPT codes that we used to identify hip arthroplasties … or allograft 27132 Conversion of previous hip surgery to total hip arthroplasty, with or without autograft
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/51-regional-analgesia-arthroplasty.pptx
June 01, 2023 - PowerPoint Presentation
Regional Analgesia for
Total Hip Arthroplasty and Total Knee Arthroplasty
AHRQ … (Part 2)
Match the anatomical distribution of the block to the surgical site
Hip (total hip arthroplasty … Peripheral nerve block anesthesia/analgesia for patients undergoing primary hip and knee arthroplasty … Quality Safety Program for Improving Surgical Care and Recovery: focus on anesthesiology for total hip … arthroplasty.
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/ssi/ssiexh8-10.html
April 01, 2018 - Distribution of SSI among surgeries in VASQIP data
CABG
HERNIA
KNEE
HIP
… Improvement Program, CABG = coronary artery bypass grafting, HERNIA = herniorraphy, KNEE = total knee arthroplasty … , HIP = total hip arthroplasty, #SSI = number of SSI, % Total = percent of all SSI, sSSI = superficial … , CABG = coronary artery bypass grafting, HERNIA = herniorraphy, ID = identified, KNEE = total knee arthroplasty … , HIP = total hip arthroplasty, NNR= number needed to read, NPV = negative predictive value, PPV = positive
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/ssi/ssiexh3.html
April 01, 2018 - Comparison of fraction of all herniorrhaphy and total knee and hip arthroplasties reviewed by VASQIP … Comparison of fraction of all herniorrhaphy and total knee and hip arthroplasties reviewed by VASQIP … Veterans Affairs Surgical Quality Improvement Program (vertical axis = y-axis) for hernia repair, total hip … The review percentages for the two orthopedic surgeries changed little between the two years-for hip … Comparison of fraction of all herniorrhaphy and total knee and hip arthroplasties reviewed by VASQIP.
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www.qualitymeasures.ahrq.gov/hai/tools/enhanced-recovery/implementing/presentations.html
June 01, 2023 - MB)
Multimodal Analgesia Tips – Facilitator Guide (DOCX, 2 MB)
Regional Analgesia for Total Hip … Arthroplasty and Total Knee Arthroplasty (PPTX, 2 MB)
Regional Analgesia for Total Hip Arthroplasty … and Total Knee Arthroplasty – Facilitator Guide (DOCX, 2 MB)
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/ssi/ssiapvtables.html
April 01, 2018 - ; THA, total hip arthroplasty; sSSI, superficial SSI; dSSI, deep SSI; oSSI, organ space SSI
Return … of a c-reactive protein and the maximum post-operative leukocyte count is not less than 9.45
Total Hip … 50.0%
0
0
NA
0
0
NA
HERNIA
3
3
50.0%
0
0
NA
1
0
100.0%
0
1
0.0%
HIP … 50.0
0
3
0.0
Abbreviations : CABG, coronary artery bypass grafting; HERNIA, herniorraphy; HIP … , total hip arthroplasty; KNEE, total knee arthroplasty; NA, not applicable; TP, true positives; FN,
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/ssi/ssiapf.html
April 01, 2018 - Preliminary Performance on Training Set (includes sSSI)
CABG
HIP
KNEE
HERNIA
Total
4525 … 89.5
72.5
49.6
CABG - Coronary Artery Bypass Grafting, HERNIA - herniorraphy, KNEE - Total Knee Arthroplasty … , HIP - Total Hip Arthroplasty, NNR - number needed to read
Return to Contents
Figure 10.
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/ssi/ssiexh19.html
April 01, 2018 - Draft Manuscript
CABG = coronary artery bypass grafting, HERNIA = herniorrhaphy; HIP … = total hip arthroplasty; KNEE =total knee arthroplasty. … at which point these surgeries increase steadily to just under 700,000 by 2007.In comparison, total hip
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/stpra/stpraapamattabs.html
April 01, 2018 - Risk Factors Associated with Prosthetic Joint Infection Following Total Joint Arthroplasty *
Risk … score >2
Simultaneous bilateral surgery
Allogenic blood transfusion
Total knee arthroplasty … Risk Factors Associated with Prosthetic Joint Infection Following Total Hip Arthroplasty *
Risk Factors … Risk Factors Associated with Prosthetic Joint Infection Following Total Knee Arthroplasty
Risk Factors … Jämsen et al. 14
Revision total knee arthroplasty
Male sex
Diagnosis of arthritic
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/ssi/ssiapr.html
April 01, 2018 - and knee arthroplasty procedures. … and knee arthroplasty. … Procedures included hip and knee arthroplasty, abdominal and vaginal hysterectomy, spinal fusion, craniotomy … and knee arthroplasty, abdominal and vaginal hysterectomy, spinal fusion, craniotomy, and herniorrhaphy … and knee arthroplasty, abdominal and vaginal hysterectomy, spinal fusion, craniotomy, and herniorrhaphy
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/ssi/ssiapt.html
April 01, 2018 - Methods: Cases of arthroplasty (hip and knee) between January 2007 and October 2010; herniorrhaphy and … procedure based on the following variables: wound class, age, anesthesia, ASA, duration of surgery, arthroplasty … Results: A total of 1337 publicly reported cases were included (488 arthroplasty; 616 herniorrhaphy; … 233 hysterectomy), of which 31 were defined as SSI (13 arthroplasty; 8 herniorrhaphy; 10 hysterectomy … The NHSN basic risk index did not correlate with SSI when assessed in aggregate (p=0.19), after arthroplasty
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/ssi/ssi2a.html
April 01, 2018 - Both occurred in total hip arthroplasties with onset of infection greater than 30 days postoperatively … , and 5,890 for total hip arthroplasties. … Total hip arthroplasty. … In much of the developed world, the incidence of SSI after total hip arthroplasty appears low. … Total knee arthroplasty. Similar trends were seen in TKA as in THA.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/ssi/ssiapu.pptx
September 18, 2011 - and knee arthroplasty
This multihospital study will employ sensitive electronic detection algorithms … Post-operative antibiotics not given, but the patient had a post-operative admission
Total Knee Arthroplasty … Arthroplasty:
All of the following:
Presence of a post-operative culture, and … arthroplasty and knee arthroplasty. … Cx_Site_Matchinteger
for example culture site hip for hip
operation
Re_Admitinteger
readmission on postop
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/ssi/ssiapu.html
September 01, 2018 - data elements available for electronic collection
* Coronary artery bypass graft, hernia repair, hip … of a c-reactive protein and the maximum post-operative leukocyte count is not less than 9.45
Total Hip … site collected potential risk factor variables for adults who had undergone CABG, herniorrhaphies, hip … arthroplasty and knee arthroplasty. … Slide 27
Results
Description of Population
A total of 3,612 herniorrhaphies, 3,410 total hip and
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/stpra/stpraapa2.html
April 01, 2018 - subacromial; 146(1.42%) ankle; 79 (0.77%) elbow; 68 (0.66%) were in the wrist; 14 (0.14%) were in the hip … .
162 complications in the knee, 9 in the shoulder, 1 in the ankle, and 1 in the hip. … second most frequent were infections reported in 21 cases (19 in the knee, 1 in an ankle and 1 in a hip … Results
180 consecutive total knee arthroplasties (TKR) were studied. … Purpose
Although prosthetic joint infection is rare following the estimated 430,000 total hip arthroplasty
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/ssi/ssiref.html
April 01, 2018 - Evaluation of postdischarge surveillance of surgical site infections after total hip and knee arthroplasty … The value of C-reactive protein for postoperative monitoring of lower limb arthroplasty. … Evaluation and management of the infected total hip and knee. Orthopedics. … Perioperative testing for joint infection in patients undergoing revision total hip arthroplasty. … Superficial incisional infection in arthroplasty of the lower limb.
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/ssi/ssi3.html
April 01, 2018 - arthroplasty, and knee arthroplasty. … DH data were limited to total knee (TK) and total hip (TH) replacements, and herniorrhaphies (HE), as … VVMC data were limited to total knee (TK) and total hip (TH) replacements and herniorrhaphies (HE), as … arthroplasty, knee arthroplasty and appendectomies). … Thus, total hip surgeries need to be compared with total hip surgeries, and not just the group of other
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/ssi/ssi5.html
April 01, 2018 - Procedures included hip and knee arthroplasty, abdominal and vaginal hysterectomy, spinal fusion, craniotomy … and knee arthroplasty, abdominal and vaginal hysterectomy, spinal fusion, craniotomy, and herniorrhaphy … and knee arthroplasty, abdominal and vaginal hysterectomy, spinal fusion, craniotomy, and herniorrhaphy … Multivariate analysis of the datasets including only total hip surgery. … Total hip surgeries from Intermountain contributed to 85 percent of the total dataset.
E3.5.5.
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/ssi/ssiexh7.html
April 01, 2018 - leukocyte count is not less than 7.55
CABG = coronary artery bypass grafting, TKA = total knee arthroplasty … , THA = total hip arthroplasty.