From: A retrospective cohort study of adverse events in patients undergoing orthopaedic surgery
Event Category | Number | Mean Days Post-Op (95% CI) | Actual Events |
---|---|---|---|
Musculoskeletal | 18 | 42.72 (12.94–29.78) | Bone ulcer, bursitis, post-op weakness, tendonitis, hemarthrosis, paresis, back spasms, tendon dysfunction, |
Non-union of a fracture | 1 | 64 | N/A |
Urinary retention | 17 | 22.88 (0–46.70) | N/A |
Gastrointestinal | 35 | 15.03 (10.77–19.29) | Esophagitis, emphysematous gastritis, bloody stool, GI bleed, bowel obstruction, G tube infection, diarrhea, constipation, ileus, GI stress, C. Diff, acute colonic pseudo obstruction, continued nausea/vomit, acute on chronic vascular insufficiency of the bowel, PEG tube, Dobhoff tube falling out, viral gastroenteritis, dysphagea, dehydration, enema, colonic distention |
Urinary tract infection | 49 | 12.20 (8.46–15.95) | N/A |
Foot drop | 7 | 20.14 (2.61–37.68) | N/A |
Intra-op complications | 24 | 0 | Seizure, severe bleeding after tornequet removed, partial avulsion fxs, Pt awake during surgery, Iatrogentic fxs, broken retained needle, vessels and arteries encountered, inferomedial neck fx, dural tear, retained drain tip, difficult intubation resulting in chipped tooth, tibial tubericle avulsion fx, peri-op NSTEMI, biceps tendon tear, ST elevation, failed sending of specimen from OR |
Psychological/cranial/cerebral | 24 | 11.38 (4.54–18.21) | disoriented, oversedation, syncopal episode, somnolence, delerium, double vision, non-convulsive status, altered mental status, TIAs, postop confusion, anoxic brain injury, gabapentin toxocity w/altered mental status, presyncope drug overdose, sleeping problems, withdrawl symptoms |
Pulmonary | 50 | 14.30 (10.71–17.89) | hypercarbia, O2 dependence, respiratory arrest, hypercarbic resp failure, pneumothorax, dyspnea, Pes |
Re-injury | 10 | 30.70 (12.82–48.58) | dislocations, screws backing out, re-fracturing, dural tears post-op |
Neuronal | 16 | 57.88 (45.22–70.53) | Nerve palsy, dysesthesia, numbness, weakness, paresis in BLE, mild dyskinesia, back spasms |
Hematoma | 13 | 14.77 (9.49–20.04) | N/A |
Cardiac | 29 | 5.90 (2.55–9.24) | Afib, hypotension, venous congestion, asymp tachycardia, desat, cardiac arrest, hypertension, angina, post-op hypotension, PEA bradycardia rhythm, junctional arrhythemia, ischemia, myocardial infarction, hypoxia |
Allergic or treatment reactions | 17 | 15.71 (7.37–24.04) | Allergic, blood transfusion, vomitting on narcs, anaphylaxis, staple reactions, increased INR |
Limb-length discrepancy | 3 | 44.67 (7.13–24.04) | N/A |
Hematological | 8 | 7.38 (3.38–11.37) | epistaxis, superficial VT, thrombocytosis, bacteremia, TIA, hyponatremia increased blood glucose, chronic vascular insufficiency |
Hematuria | 3 | 13 (0–33.01) | N/A |
Integumentary | 28 | 30.54 (22.44–38.63) | Suture sinus, furuncle, blood blister, fracture blister, retained sutures |
Seromas | 4 | 22.75 (4.89–40.61) | N/A |
Renal | 5 | 2.20 (0–4.38) | Acute on chronic renal failure, postop acute renal failure, renal failure |
Chest Pain | 2 | 44.50 (0–102.02) | N/A |