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Table 10 Other Adverse Events

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